Individual
DR. KATHERINE M FRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1731
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1731
(515) 271-1692
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000807
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821269333
—
IA
01
—
P00646817
RR MEDICARE
IA
Enumeration date
03/12/2008
Last updated
02/12/2020
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