Individual
DR. SUSAN M CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1125 PIERCE ST, SIOUX CITY, IA 51105-1485
(712) 255-8901
(712) 255-9161
Mailing address
1125 PIERCE ST, SIOUX CITY, IA 51105-1485
(712) 255-8901
(712) 255-9161
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30620
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1163998
—
IA
05
—
2163998
—
IA
Enumeration date
06/30/2005
Last updated
08/28/2012
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