Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD-45629 | IA |
NPI | 1093853137 |
---|---|
Provider Name | Dr. Stephanie Elizabeth Helmer |
First Address | Dubuque, IA 52002-2201 |
Second Address | Dubuque, IA 52001-7365 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 24/09/2018 |