Individual
DR. STEWART DOUGLAS KANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-3832
(641) 628-8894
Mailing address
405 MONROE STREET, PELLA, IA 50219
(641) 621-2200
(641) 621-2638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3671
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0794982
—
IA
01
—
1689787152
NPI
IA
Enumeration date
08/17/2006
Last updated
08/31/2022
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