Basic Information
| Provider Information | |||||||||
| NPI: | 1437137668 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | METZGER | ||||||||
| FirstName: | ANN | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2996 7TH AVE | ||||||||
| Address2: | SUITE B | ||||||||
| City: | MARION | ||||||||
| State: | IA | ||||||||
| PostalCode: | 523023713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3193774844 | ||||||||
| FaxNumber: | 3193770852 | ||||||||
| Practice Location | |||||||||
| Address1: | 2996 7TH AVE | ||||||||
| Address2: | SUITE B | ||||||||
| City: | MARION | ||||||||
| State: | IA | ||||||||
| PostalCode: | 523023713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3193774844 | ||||||||
| FaxNumber: | 3193770852 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/06/2006 | ||||||||
| LastUpdateDate: | 05/16/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 30018 | IA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 5097204 | 05 | IA | MEDICAID | 4097204 | 05 | IA | MEDICAID | 1437137668 | 05 | IA | MEDICAID | 6097204 | 05 | IA | MEDICAID | 080102643 | 01 | IA | RR MEDICARE | OTHER |