Individual
MARK A PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-2131
(641) 782-6425
Mailing address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
(641) 782-3830
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25526
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241042
—
IA
01
—
11471
MIDLANDS CHOICE
IA
05
—
1811987043
—
IA
01
—
28592
WELLMARK
IA
01
—
IA0105
JOHN DEERE
IA
Enumeration date
10/27/2005
Last updated
11/08/2016
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