NPI 1710279351

Eric Andresen

Practitioner Urology Physician Waterloo, IA

Practice location

Address: 1717 W Ridgeway Ave, Waterloo, IA 50701
Phone: (319) 233-0340
Mailing address: 1717 W Ridgeway Ave, Waterloo, IA 50701-4543

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD-44196 (IA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1710279351
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2011
Record last updated: 14 Jun 2018

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.