Individual
DR. JOEL PHILIP VANDER MEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5900 NW 86TH ST, STE 100, JOHNSTON, IA 50131-2284
(515) 276-6133
(515) 334-7356
Mailing address
5900 NW 86TH ST, STE 100, JOHNSTON, IA 50131-2284
(515) 276-6133
(515) 334-7356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3420
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790754695
—
IA
01
—
P00810887
RR MEDICARE
IA
Enumeration date
03/15/2006
Last updated
11/08/2016
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