Provider Demographics
NPI:1891754941
Name:AHRENS, DAVID R (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:AHRENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:502 MAIN
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50115
Mailing Address - Country:US
Mailing Address - Phone:641-332-2365
Mailing Address - Fax:641-332-2370
Practice Address - Street 1:502 MAIN
Practice Address - Street 2:GUTHRIE FAMILY MEDICINE CENTER PLC
Practice Address - City:GUTHRIE CENTER
Practice Address - State:IA
Practice Address - Zip Code:50115
Practice Address - Country:US
Practice Address - Phone:641-332-2365
Practice Address - Fax:641-332-2370
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22458207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0183053Medicaid
IA0106OtherJOHN DEERE
18305OtherBLUE CROSS BLUE SHIELD OF
22458OtherIOWA LICENSE NUMBER
241160OtherMIDLANDS
080023738OtherRAILROAD MEDICARE
183053OtherFIRST ADMINISTRATORS
IA0293423Medicaid
IA0106OtherJOHN DEERE
18305OtherBLUE CROSS BLUE SHIELD OF
IA0293423Medicaid