Organization
RED HAW FAMILY MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP DEWAIN SUNDQUIST M.D. (FAMILY PRACTICE/OBGYN)
(641) 217-9115
Entity
Organization
Contact information
Practice address
1030 N 7TH ST, CHARITON, IA 50049-1206
(641) 217-9115
(641) 217-9137
Mailing address
1030 N 7TH ST, PO BOX 674, CHARITON, IA 50049-1206
(641) 217-9115
(641) 217-9137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37367
IA
207V00000X
Obstetrics & Gynecology Physician
37367
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103836
—
IA
Enumeration date
08/21/2010
Last updated
12/08/2010
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