Whalio Doctors

NPI 1033191861

Mark a Tannenbaum, MD

Practitioner Interventional Cardiology Physician West Des Moines, IA

Practice location

Address
5880 University Ave STE. 102, West Des Moines, IA 50266-8220
Phone
(515) 633-3600
Fax
(515) 288-0840
Mailing address
PO Box 9170, Des Moines, IA 50306-9170

Registered specialties (2)

Interventional Cardiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RI0011X Licence 27144 (IA)
Cardiovascular Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence 27144 (IA)

Registry record

NPI
1033191861
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Nov 2005
Record last updated
14 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.