SearchIowa101YA0400X

Marvin Fangman, M.A., IAADC

NPI 1245613108 · on the registry since 2015 · sole proprietor

Practice

Address
501 North Sherman
Prairie City, IA 50228
Phone
(515) 994-3562
Fax
(515) 994-3564

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
104100000X
1041C0700X
Licence states on file
IA, VI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa