Organization
NORTHERN IOWA CARDIOVASCULAR AND THORACIC SURGERY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EROMOSELE ANTHONY OTOADESE MD (OWNER)
(319) 233-3044
Entity
Organization
Contact information
Practice address
1753 W RIDGEWAY AVE STE 111, WATERLOO, IA 50701-4588
(319) 233-6211
Mailing address
PO BOX 2660, WATERLOO, IA 50704-2660
(319) 233-3044
(319) 233-0722
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
28663
IA
Other
Enumeration date
12/03/2012
Last updated
04/29/2020
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