Organization
MEDICAL ASSOCIATES OF MAQUOKETA PC
Active
Parent organization
MEDICAL ASSOCIATES OF MAQUOKETA PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL ASSOCIATES OF MAQUOKETA PC
Authorized official
JENNIFER M ORR (OFFICE ADMINISTRATOR)
(563) 652-5145
Entity
Organization
Contact information
Practice address
307 E WEBSTER ST, WYOMING, IA 52362
(563) 488-2297
(563) 488-3313
Mailing address
PO BOX 58, 307 E WEBSTER ST, WYOMING, IA 52362-0058
(563) 488-2297
(563) 488-3313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1126896
—
IA
Enumeration date
01/26/2006
Last updated
09/13/2011
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