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Organization

IOWA LAKES ORTHOPAEDICS , P.C.

Active
Other names
Iowa Lakes Orthopaedics
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY SHELL (CLINIC ADMINISTRATOR)
(712) 336-5311
Entity
Organization

Contact information

Practice address
2309 23RD ST., SPIRIT LAKE, IA 51360-0273
(712) 336-5311
(712) 336-0020
Mailing address
2309 23RD ST., P. O. BOX 273, SPIRIT LAKE, IA 51360-0273
(712) 336-5311
(712) 336-0020

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0070292
IA
05
2401560
MN
Enumeration date
04/06/2006
Last updated
09/14/2010
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