Basic Information
| Provider Information | |||||||||
| NPI: | 1508869413 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FOLLOWS | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | WILLIAM | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1200 1ST AVE E STE C | ||||||||
| Address2: | |||||||||
| City: | SPENCER | ||||||||
| State: | IA | ||||||||
| PostalCode: | 513014342 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1200 1ST AVE E | ||||||||
| Address2: | STE C | ||||||||
| City: | SPENCER | ||||||||
| State: | IA | ||||||||
| PostalCode: | 513014342 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7122627511 | ||||||||
| FaxNumber: | 7122623658 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 20587 | IA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 0066050 | 05 | IA | MEDICAID |