Basic Information
| Provider Information | |||||||||
| NPI: | 1598106627 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PARTNERS IN MEDICINE, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5118 BROADVIEW DR SE | ||||||||
| Address2: | |||||||||
| City: | CEDAR RAPIDS | ||||||||
| State: | IA | ||||||||
| PostalCode: | 524033287 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3192701262 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1570 42ND ST NE STE 1 | ||||||||
| Address2: | |||||||||
| City: | CEDAR RAPIDS | ||||||||
| State: | IA | ||||||||
| PostalCode: | 524023073 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3192004400 | ||||||||
| FaxNumber: | 3192004401 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2013 | ||||||||
| LastUpdateDate: | 09/12/2013 | ||||||||
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| AuthorizedOfficialLastName: | HANAWALT | ||||||||
| AuthorizedOfficialFirstName: | CINDY | ||||||||
| AuthorizedOfficialMiddleName: | LEE | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/ OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3192701262 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D., PH.D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.