Individual
DR. DANIEL J. LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 EDMUNDSON PLACE, SUITE 500, COUNCIL BLUFFS, IA 51503-4619
(712) 323-5333
(712) 323-3252
Mailing address
1 EDMUNDSON PLACE, SUITE 500, COUNCIL BLUFFS, IA 51503-4619
(712) 323-5333
(712) 323-3252
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
19436
NE
207X00000X
Orthopaedic Surgery Physician
Primary
26497
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200015383
RAILROAD MEDICARE
IA
01
—
26287
WELLMARK
IA
Enumeration date
07/07/2005
Last updated
07/03/2012
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