Individual
RANDALL L HINRICHS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23708 CEDAR JONES RD, LISBON, IA 52253-9027
(319) 350-0552
Mailing address
23708 CEDAR JONES RD, LISBON, IA 52253-9027
(319) 350-0552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19432
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600791
—
IA
05
—
2305631
—
IA
01
—
26434
WELLMARK OF IA
—
Enumeration date
12/23/2005
Last updated
07/08/2007
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