Provider Demographics
NPI:1689887416
Name:MEYER, CARL ANSELM (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:ANSELM
Last Name:MEYER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 424
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50302-0424
Mailing Address - Country:US
Mailing Address - Phone:515-875-9255
Mailing Address - Fax:515-875-9923
Practice Address - Street 1:4323 NW URBANDALE DR
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-7910
Practice Address - Country:US
Practice Address - Phone:515-875-9800
Practice Address - Fax:515-875-9804
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2023-12-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-37168208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1689887416Medicaid
IA1689887416Medicaid