Organization
FAMILY MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUG J MIEDEMA DO (PARTNER)
(712) 754-2900
Entity
Organization
Contact information
Practice address
600 9TH AVE N, SIBLEY, IA 51249-1012
(712) 754-2900
(712) 754-2634
Mailing address
PO BOX 277, SIBLEY, IA 51249-0277
(712) 754-2900
(712) 754-2634
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002069
IA
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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