| Grant Matthew Henning, MD | |
|
200 Hawkins Dr, Iowa City, IA 52242-1009 | |
| (319) 356-2421 | |
| (319) 356-3949 |
| Full Name | Grant Matthew Henning |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 200 Hawkins Dr, Iowa City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851885818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD-55103 (Iowa) | Primary |
| 208600000X | Surgery | 2018018699 (Missouri) | Secondary |
| 208800000X | Urology | 74414 (Minnesota) | Secondary |
| Entity Name | Mayo Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Matthew Henning, MD 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-2421 | Grant Matthew Henning, MD 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-2421 |
Jeffrey Spencer Edman, MD Urology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-5643 Fax: 319-356-3900 | |
Dr. Jack R Vercnocke, MD Urology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-5643 | |
James Bradley Mason, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-1616 Fax: 319-356-3900 | |
Charles Haddad Schlaepfer, MD Urology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-5643 | |
Dr. Elise Foley Myers, MD Urology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-5643 Fax: 319-356-3900 | |
Dr. Michael A Odonnell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-6981 Fax: 319-356-3900 | |
Craig A Block, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-1616 Fax: 319-384-6004 |