Individual
DR. MARTIN JEROME FIALKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 63RD ST, DES MOINES, IA 50311-1943
(515) 225-6861
(515) 225-6864
Mailing address
1201 63RD ST, DES MOINES, IA 50311-1943
(515) 225-6861
(515) 225-6864
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36314
IA
2084P0800X
Psychiatry Physician
MD024394E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04327
WELLMARK
IA
01
—
248245
MIDLANDS CHOICE
IA
Enumeration date
02/13/2006
Last updated
08/11/2007
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