Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 29529 | IA |
NPI | 1013989441 |
---|---|
Provider Name | Siv Brit Saetre |
First Address | Davenport, IA 52803-2400 |
Second Address | Davenport, IA 52803-2400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 15/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0105650 | (05) | IA |
020428 | HEALTH ALLIANCE (01) | |
13062 | WELLMARK BCBS (01) | IA |
15622 | MIDLANDS CHOICE (01) | |
1764565 | UNITED HEALTHCARE (01) | |
F33212 | (02) |