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Individual

OLAF PETER KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12368 STRATFORD DR, SUITE 300, CLIVE, IA 50325-8162
(515) 226-9810
(515) 226-8408
Mailing address
4200 UNIVERSITY AVE, SUITE 104, WEST DES MOINES, IA 50266-5945
(515) 961-0453
(515) 961-2714

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
104349
MN
2085R0202X
Diagnostic Radiology Physician
23324
NE
2085R0202X
Diagnostic Radiology Physician
34964
IA
2085R0202X
Diagnostic Radiology Physician
52264
MN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD-34964
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
IA
05
ENROLLED
MN
Enumeration date
01/02/2007
Last updated
11/22/2023
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