Individual
MADONNA SUSAN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1765 LININGER LN, NORTH LIBERTY, IA 52317-2316
(319) 665-3073
Mailing address
1865 LININGER LANE, MERCY CARE URGENT CARE NORTH LIBERTY, NORTH LIBERTY, IA 52317-9575
(319) 665-3073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005082
GA
363AM0700X
Medical Physician Assistant
Primary
001987
IA
Other
Enumeration date
01/21/2008
Last updated
10/27/2015
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