| Kurt R. Vander Ploeg, M.d., P.c. | |
|
615 Washington St Pella IA 50219-1538 | |
| (641) 628-2222 | |
| (641) 628-2915 |
| Full Name | Kurt R. Vander Ploeg, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 615 Washington St, Pella, Iowa |
| Authorized Official Name and Position | Kurt Ronald Vander Ploeg (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 6416282222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kurt R. Vander Ploeg, M.d., P.c. 615 Washington St Pella IA 50219-1538 Ph: (641) 628-2222 | Kurt R. Vander Ploeg, M.d., P.c. 615 Washington St Pella IA 50219-1538 Ph: (641) 628-2222 |
| NPI Number | 1093726861 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093726861 | NPI | - | NPPES |
| 17726 | Other | IA | MIDLAND'S CHOICE PROVIDER |
| 0317687 | Medicaid | IA | |
| 13768 | Other | IA | WELLMARK BCBS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20762 (Iowa) | Primary |
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