Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 16004 | MN |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 37327 | IA |
Y | 207YP0228X | Pediatric Otolaryngology | 37327 | IA |
NPI | 1457557704 |
---|---|
Provider Name | Dr. Deborah Sue Follmer Kacmarynski |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 12/05/2009 |