Individual
CHARLES R CANEDY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-3832
(641) 621-2335
Mailing address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-3832
(641) 621-2335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41516
IA
208M00000X
Hospitalist Physician
Primary
41516
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41516
IOWA LICENSE
IA
Enumeration date
06/24/2009
Last updated
08/05/2021
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