Individual
DR. KURT RONALD VANDER PLOEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 WASHINGTON ST, PELLA, IA 50219-1538
(641) 628-2222
(641) 628-2915
Mailing address
615 WASHINGTON ST, PELLA, IA 50219-1538
(641) 628-2222
(641) 628-2915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20762
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137687
—
IA
01
—
13768
WELLMARK BLUE CROSS & BLU
IA
01
—
16D0383065
CLIA NUMBER
IA
01
—
IA0101
JOHN DEERE HEALTHCARE
IA
Enumeration date
08/28/2005
Last updated
03/07/2023
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