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Individual

DR. MARK EDWARD RANDLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1111 6TH AVE, EMERGENCY MEDICINE, DES MOINES, IA 50314-2610
(515) 247-4445
(515) 643-8933
Mailing address
15797 CARTER ST, CARLISLE, IA 50047-3194
(515) 989-3133
(515) 989-9387

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1997
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3208447
IA
Enumeration date
11/09/2005
Last updated
07/08/2007
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