Individual
HARBANS SINGH DEOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2000B SOUTH MAIN ST, FAIRFIELD, IA 52556-3740
(641) 472-4156
(641) 472-9436
Mailing address
2000B SOUTH MAIN ST, P.O. BOX 1507, FAIRFIELD, IA 52556-3740
(641) 472-4156
(641) 472-9436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02999
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37561
WELLMARK BCBS PIN
IA
05
—
7266536
—
IA
Enumeration date
10/11/2005
Last updated
06/19/2009
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