| Organization Name: | HEARTLAND VASCULAR MEDICINE AND SURGERY PC |
| NPI Number: | 1184787343 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALAN RUSSELL KOSLOW (OWNER) |
| Mailing Address: | 974 73rd St Suite 23 Windsor Heights |
| State: | IA US |
| Postal Code: | 503241024 |
| Phone Number: | 5152841976 |
| Fax Number: | 5152233010 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 06/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 30390 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |