Organization
FAMILY MEDICINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA LEE AULWES (CLINIC MANAGER)
(563) 252-2141
Entity
Organization
Contact information
Practice address
101 SOUTH WASHINGTON, EDGEWOOD, IA 52042
(563) 928-6435
Mailing address
101 SOUTH WASHINGTON, EDGEWOOD, IA 52042
(563) 928-6435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0689117
—
IA
01
—
14482
BILLING NUMBER
IA
Enumeration date
12/01/2006
Last updated
06/20/2008
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