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Individual

ROCKY J FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1999
(319) 235-3886
(319) 233-1630
Mailing address
233 W FIRST ST, WACONIA, MN 55387
(952) 442-9770
(952) 442-3620

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-058051
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10745
MIDLANDS CHOICE
IA
05
2267047
IA
01
26585
BLUE CROSS OF IA
IA
01
421417307A6
JOHN DEERE HEALTH INS
IA
01
43339
WELLMARK INS PLAN
IA
Enumeration date
05/19/2006
Last updated
01/28/2008
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