Individual
ROBERT STEPHEN PRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 SOUTHBROOKE DR, WATERLOO, IA 50702-5802
(319) 236-7751
(319) 236-7753
Mailing address
220 SOUTHBROOKE DR, WATERLOO, IA 50702-5802
(319) 236-7751
(319) 236-7753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD34769
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972582856
—
IA
01
—
272308584-02
UNITED HEALTHCARE
IA
01
—
P01020603
RRMEDICARE
IA
Enumeration date
01/10/2006
Last updated
11/08/2017
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