Individual
STEPHEN L RUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5264 COUNCIL ST NE, CEDAR RAPIDS, IA 52402-2471
(319) 221-8444
(319) 221-8589
Mailing address
PO BOX 786, CEDAR RAPIDS, IA 52406-0786
(319) 369-4505
(319) 369-4677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22624
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203679
—
IA
05
—
3203679
—
IA
Enumeration date
03/27/2006
Last updated
01/07/2008
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