Organization
GUTTENBERG MUNICIPAL HOSPITAL
Active
Other names
Guttenberg Hospital-ER Doctors
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN STAGMAN RHIT (CREDENTIALING SPECIALIST)
(563) 252-1121
Entity
Organization
Contact information
Practice address
200 MAIN ST, GUTTENBERG, IA 52052-9108
(563) 252-1121
(563) 252-5547
Mailing address
PO BOX 550, GUTTENBERG, IA 52052-0550
(563) 252-1121
(563) 252-5547
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72404
WELLMARK
IA
Enumeration date
02/15/2008
Last updated
10/24/2024
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