Provider Demographics
NPI:1720059686
Name:MACATEE, JOHN R (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:MACATEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1136 FOSTER RD
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-1595
Mailing Address - Country:US
Mailing Address - Phone:319-358-7004
Mailing Address - Fax:877-395-2327
Practice Address - Street 1:1136 FOSTER RD
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-1595
Practice Address - Country:US
Practice Address - Phone:319-358-7004
Practice Address - Fax:319-358-7006
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA3895204D00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAF71086Medicare UPIN
MAJ30201Medicare ID - Type Unspecified