Individual
GREGG W CALDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1223 S GEAR AVE, STE 208, WEST BURLINGTON, IA 52655-1682
(319) 752-4541
(319) 752-2972
Mailing address
1223 S GEAR AVE, STE 208, WEST BURLINGTON, IA 52655-1682
(319) 752-4541
(319) 752-2972
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22096
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730140898
WELLMARK
IA
05
—
1730140898
—
IA
Enumeration date
03/29/2006
Last updated
11/06/2012
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