Individual
PATRICIA K ENDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 4TH ST SW, SUITE ER, MASON CITY, IA 50401-2800
(641) 422-7234
(641) 422-6373
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 494-3041
(641) 494-3059
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02711
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082354
—
IA
01
—
55503
WELLMARK
IA
Enumeration date
08/25/2006
Last updated
08/27/2020
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