Organization
IOWA CANCER SPECIALISTS, P.C.
Active
Other names
Susannah Friemel, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSANNAH FRIEMEL MD (PRESIDENT)
(563) 345-4325
Entity
Organization
Contact information
Practice address
1750 E 53RD STREET, DAVENPORT, IA 52807
(563) 345-4325
(563) 345-4326
Mailing address
1750 E 53RD STREET, DAVENPORT, IA 52807
(563) 345-4325
(563) 345-4326
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5927970001
MEDICARE NSC
IA
01
—
DB1079
RAILROAD MEDICARE
IA
01
—
I9392
MEDICARE ID-TYPE UNSEPCIFIED
IA
Enumeration date
08/28/2006
Last updated
10/31/2024
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