Organization
PERINATAL CENTER OF IOWA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H VELLINGA (PRES/CEO)
(515) 247-4812
Entity
Organization
Contact information
Practice address
330 LAUREL ST, SUITE 2300, DES MOINES, IA 50314-3068
(515) 643-6888
(515) 643-6899
Mailing address
PO BOX 8204, DES MOINES, IA 50301-8204
(515) 643-6888
(515) 643-6899
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448639
—
IA
01
—
36602
WELLMARK GROUP
IA
Enumeration date
07/21/2006
Last updated
12/23/2011
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