Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 26587 | NE |
N | 208600000X | Surgeon | 26587 | NE |
N | 208200000X | Surgeon | 39983 | IA |
N | 208600000X | Surgeon | 39983 | IA |
N | 2086S0105X | Surgery of the Hand | 26587 | NE |
Y | 2086S0105X | Surgery of the Hand | 39983 | IA |
NPI | 1972620912 |
---|---|
Provider Name | Dr. Caliste Iv Hsu |
First Address | Council Bluffs, IA 51503-4619 |
Second Address | Council Bluffs, IA 51503-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 31/08/2012 |