Organization
TRIMARK PHYSICIANS GROUP INC
Active
Parent organization
TRIMARK PHYSICIANS GROUP INC
Other names
Trimark Physicians Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIMARK PHYSICIANS GROUP INC
Authorized official
MICHAEL J DEWERFF (CFO)
(515) 574-6603
Entity
Organization
Contact information
Practice address
800 KENYON RD, FORT DODGE, IA 50501-5776
(515) 573-4141
Mailing address
24 N 9TH ST, SUITE A, FORT DODGE, IA 50501-3905
(515) 574-6890
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/23/2005
Last updated
12/22/2010
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