Provider Demographics
NPI:1427017599
Name:VERMEER, RICHARD LANKELMA (DO)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:LANKELMA
Last Name:VERMEER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1227 E RUSHOLME ST
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-2459
Mailing Address - Country:US
Mailing Address - Phone:563-421-7702
Mailing Address - Fax:563-421-7719
Practice Address - Street 1:1227 E RUSHOLME ST
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-2459
Practice Address - Country:US
Practice Address - Phone:563-421-7702
Practice Address - Fax:563-421-7719
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA01658207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAAO1534Medicare UPIN