Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 21378 | IA |
NPI | 1093704231 |
---|---|
Provider Name | Dr. Katherine Sutherland Hauser |
First Address | West Des Moines, IA 50266-1900 |
Second Address | West Des Moines, IA 50266-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D90025 | (02) | IA |