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Individual

DR. NANCY ANN BOELTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3701 KATZ DR, MARION, IA 52302-3871
(319) 369-0722
(319) 362-8574
Mailing address
3701 KATZ DR, P O BOX 260, MARION, IA 52302-3871
(319) 369-0722
(319) 362-8574

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32415
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0183731
IA
01
080182348
RAILROAD MEDICARE
IA
Enumeration date
06/01/2006
Last updated
10/05/2014
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