Individual
MARK STEWART CALKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5409 AVENUE O, FORT MADISON, IA 52627-9601
(319) 376-2134
(319) 376-2188
Mailing address
5409 AVENUE O, FORT MADISON, IA 52627-9601
(319) 376-2134
(319) 376-2188
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
39197
IA
207X00000X
Orthopaedic Surgery Physician
ME39537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07604736
—
MS
01
—
1770516353
WELLMARK BLUE CROSS OF IOWA
IA
05
—
1770516353
—
IA
05
—
2379348
—
LA
Enumeration date
07/08/2006
Last updated
05/19/2015
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