Individual
DR. DANIEL E FEDDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 LINCOLN WAY, AMES, IA 50014-7595
(515) 663-4892
(515) 663-4899
Mailing address
3600 LINCOLN WAY, AMES, IA 50014-7595
(515) 663-4892
(515) 663-4899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30181
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1115188
—
IA
Enumeration date
10/13/2005
Last updated
11/11/2020
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