Individual
MARLENE S BIRKHOLTZ-WIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
220 ESSIE DAVISON DR, CLARINDA, IA 51632-2915
(712) 542-2176
Mailing address
PO BOX 217, 220 ESSIE DAVISON DR., CLARINDA, IA 51632-2915
(712) 542-2176
(712) 542-8311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38630
IA
208600000X
Surgery Physician
349
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470767637-13
—
NE
Enumeration date
03/14/2006
Last updated
05/08/2014
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