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Individual

MICHAEL JUSTIN KASPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PARAMEDIC

Contact information

Practice address
310 2ND AVE SW, CEDAR RAPIDS, IA 52404-2003
(319) 892-6100
Mailing address
9701 ANGLE RD, FAIRFAX, IA 52228-9769
(319) 721-3425

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
PM-21-007-11
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PM-21-007-11
IOWA DEPARTMENT OF PUBLIC HEALTH
IA
Enumeration date
01/13/2021
Last updated
01/13/2021
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