Individual
DR. JIM ELDON CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1753 W RIDGEWAY AVE, STE 103 B, WATERLOO, IA 50701-4521
(319) 833-5922
(319) 833-5723
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 833-5922
(319) 833-5923
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19820
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19215
WELLMARK INS PLAN
IA
05
—
2149591
—
IA
01
—
42141730705
JOHN DEERE HEALTH INS PLA
IA
Enumeration date
05/19/2006
Last updated
07/29/2015
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