Individual
DANIEL A TRAUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 A AVE NE, SUITE 100, CEDAR RAPIDS, IA 52402-5057
(319) 362-0200
(319) 399-5186
Mailing address
855 A AVE NE, SUITE 100, CEDAR RAPIDS, IA 52402-5057
(319) 362-0200
(319) 399-5186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30615
IA
208000000X
Pediatrics Physician
30615
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125591
—
IA
01
—
110114212
RR MEDICARE
IA
05
—
1125591
—
IA
05
—
1912985680
—
IA
Enumeration date
01/04/2006
Last updated
05/16/2012
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