Individual
DOUGLAS MARK DUVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1731 W RIDGEWAY AVE, STE 100, WATERLOO, IA 50701-4591
(319) 833-6100
(319) 833-6102
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 833-6100
(319) 833-6102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23463
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1203869
—
IA
01
—
19288
WELLMARK INS PLAN
IA
01
—
42141730701
JOHN DEERE HEALTH CARE
IA
Enumeration date
05/18/2006
Last updated
10/09/2007
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