Individual
BRETT R RICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 S HACKETT RD, SUITE 200, WATERLOO, IA 50701-3500
(319) 266-5491
(319) 266-6687
Mailing address
1015 S HACKETT RD, SUITE 200, WATERLOO, IA 50701-3500
(319) 266-5491
(319) 266-6687
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31099
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137356
—
IA
01
—
160031019
RAILROAD MEDICARE
—
01
—
53649
WELLMARK
—
01
—
IA0134
JOHN DEERE HEALTH CARE
—
Enumeration date
07/07/2005
Last updated
02/06/2015
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