Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD-40269 | IA |
NPI | 1013172360 |
---|---|
Provider Name | Dr. Michelle Nicole Kompare |
First Address | Waterloo, IA 50702-5401 |
Second Address | Waterloo, IA 50702-5401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2008 |
Last Update Date | 22/07/2020 |