Individual
HEIDI R. SHRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 UNIVERSITY AVE STE 120, DES MOINES, IA 50314
(515) 248-1500
(515) 248-1510
Mailing address
1200 UNIVERSITY AVE STE 200, DES MOINES, IA 50314-2355
(515) 248-1447
(515) 248-1440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-36326
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0478818
—
IA
01
—
P01405468
RR MEDICARE
IA
Enumeration date
02/14/2006
Last updated
05/22/2019
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