Individual
DR. ALEXANDRA VANDER MEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
01055415A
IN
207Q00000X
Family Medicine Physician
Primary
MD-38071
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811904295
—
IA
01
—
P00784915
RR MEDICARE
IA
Enumeration date
08/01/2006
Last updated
11/08/2016
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