| Doctor Name: | JOHN BIRKETT |
| NPI Number: | 1780655100 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 20218 |
| Business Practice Address: | 1428 2nd Ave N Fort Dodge, IA - 505014119 |
| Business Phone Number: | 5155746110 |
| Business Fax Number: | |
| Mailing Address: | 24 N 9th St, Suite A FORT DODGE |
| State: | IA |
| Postal Code: | 505013909 |
| Phone Number: | 5155746890 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2006 |
| NPI Last Update Date: | 06/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20218 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |