Organization
SURGICAL SERVICES OF MT. PLEASANT
Active
Parent organization
SURGICAL SERVICES OF MT. PLEASANT
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURGICAL SERVICES OF MT. PLEASANT
Authorized official
BETH E HOTHAN-ZIELINSKI M.D (OWNER/DOCTOR)
(319) 385-6550
Entity
Organization
Contact information
Practice address
407 S WHITE ST, STE. 102, MT PLEASANT, IA 52641-2262
(319) 385-6550
(319) 385-6554
Mailing address
407 S WHITE ST, STE. 102, MT PLEASANT, IA 52641-2262
(319) 385-6550
(319) 385-6554
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
32860
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049167
—
IA
01
—
49167
WELLMARK BLUE CROSS BLUE
IA
Enumeration date
12/10/2007
Last updated
04/14/2009
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