Individual
DAUNYALE L SPORAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3201 1ST ST, EMMETSBURG, IA 50536-2516
(712) 852-5555
(712) 852-5692
Mailing address
600 1ST ST NW, SUITE 101, MASON CITY, IA 50401-2932
(641) 428-3041
(641) 428-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03148
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4174631
—
IA
01
—
41957
WELLMARK
IA
Enumeration date
08/11/2006
Last updated
11/19/2020
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