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Individual

ANGELA DAWN KONRAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 428-7488
Mailing address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 428-7488

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2007012454
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
3963
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207289109
MO
Enumeration date
08/24/2006
Last updated
04/18/2014
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