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Marc E Waitek, PA

Physician Assistant in Osage, IA. Individual provider (NPI-1).

NPI number1821180431
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1821180431
Entity type
Individual (NPI-1)
Name
Marc E Waitek
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Sep 29, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant000653IAYes

Practice location

620 N 8th St
Osage, IA 50461-1456

Phone 641-732-6100 · Fax 641-732-6108

Mailing address

621 S Illinois Ave
Suite 103
Mason City, IA 50401-5489

Phone 641-494-3041 · Fax 641-494-3059

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