Doctor Name: | DR. MERRELL KAUWE |
NPI Number: | 1154737344 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 073986 |
Business Practice Address: | 804 Kenyon Rd Suite 310 Fort Dodge, IA - 505015742 |
Business Phone Number: | 5155746880 |
Business Fax Number: | |
Mailing Address: | 804 Kenyon Rd, Suite 310 FORT DODGE |
State: | IA |
Postal Code: | 505015742 |
Phone Number: | 5155746880 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2014 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 073986 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |