Individual
ANN MARIE MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-7985
(563) 927-7934
Mailing address
709 W MAIN ST, P.O. BOX 359, MANCHESTER, IA 52057-1526
(563) 927-7985
(563) 927-7934
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
001728
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001728
IOWA LICENSE
IA
05
—
3086926
—
IA
Enumeration date
10/04/2006
Last updated
07/01/2025
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