Organization
SHELL ROCK FAMILY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER L SKIERKA MD (OWNER PHYSICIAN)
(319) 885-6530
Entity
Organization
Contact information
Practice address
513 NORTH CHERRY ST, SHELL ROCK, IA 50670
(319) 885-6530
(319) 885-6535
Mailing address
PO BOX 2400, WATERLOO, IA 50704-2400
(319) 233-3044
(319) 233-0722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10315
BLUE SHIELD
IA
Enumeration date
05/16/2006
Last updated
11/02/2007
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