Provider Demographics
NPI:1891897237
Name:CRANK, DONNIS F (DPM)
Entity Type:Individual
Prefix:DR
First Name:DONNIS
Middle Name:F
Last Name:CRANK
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 22ND ST
Mailing Address - Street 2:STE 105
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266
Mailing Address - Country:US
Mailing Address - Phone:515-327-1177
Mailing Address - Fax:515-327-1178
Practice Address - Street 1:1701 22ND ST
Practice Address - Street 2:STE 105
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266
Practice Address - Country:US
Practice Address - Phone:515-327-1177
Practice Address - Fax:515-327-1178
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00524213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0059352Medicaid
IA0059352Medicaid
00448Medicare ID - Type Unspecified