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Individual

PAUL MARTIN PARMELEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
194 6TH AVE NE, LE MARS, IA 51031-3716
(712) 546-3670
(712) 546-3674
Mailing address
33733 220TH ST, LE MARS, IA 51031-8868
(712) 546-3670
(712) 546-3674

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02722
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16208
WELLMARK BC/BS
IA
05
4073163
IA
Enumeration date
10/03/2005
Last updated
09/05/2007
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