Mark Gregory Desautel
NORTHWEST IOWA EAR NOSE AND THROAT PC


Address: 920 Grand Ave, Spencer, IA 51301-3641
Phone: 7122628120

Mark Gregory Desautel (NPI# 1255338174, PAC ID# 4789596909) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1255338174
PAC ID by PECOS 4789596909
Professional Enrollment ID I20040608000652
Full Name Mark Gregory Desautel
Organization Legal Name NORTHWEST IOWA EAR NOSE AND THROAT PC
Address 920 Grand Ave
Spencer
IA 51301-3641
Phone Number 7122628120
Gender M
Credential MD
Medical School UNIVERSITY OF IOWA COLLEGE OF MEDICINE
Graduation Year 1991
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 1850464140
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
160112 SPENCER MUNICIPAL HOSPITAL
241332 WINDOM AREA HOSPITAL
160124 LAKES REGIONAL HEALTHCARE

Other Locations

Address Phone Organization
717 S State St, Fairmont, MN 56031-4469 5072384949 NORTHWEST IOWA EAR NOSE AND THROAT PC
920 Grand Ave, Spencer, IA 51301-3641 7122628120 NORTHWEST IOWA EAR NOSE AND THROAT PC

Organization Information

Organization Legal Name NORTHWEST IOWA EAR NOSE AND THROAT PC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Joshua J Espelund Otolaryngology Northwest Iowa Ear Nose and Throat PC 920 Grand Ave, Spencer, IA 51301-3641
Daniel L Jorgensen Otolaryngology Northwest Iowa Ear Nose and Throat PC 300 Sioux Valley Dr, Cherokee, IA 51012-1205

Office Location

Street Address 920 GRAND AVE
City SPENCER
State IA
Zip 51301-3641

Physicians in the same location

Name Specialty Organization Address
Joshua J Espelund Otolaryngology Northwest Iowa Ear Nose and Throat PC 920 Grand Ave, Spencer, IA 51301-3641

Physicians in the same zip code

Name Specialty Organization Address
Erin Renea Rabel Chiropractic 1204 W 18th St, Spencer, IA 51301-1334
Bryon L Gaul Dermatology 2004 Hwy Blvd, Spencer, IA 51301-2112
Brent R Stanley Chiropractic 1723 Hwy Blvd, Suite 2, Spencer, IA 51301-2208
Abigail Casey Drucker Obstetrics/gynecology Northwest Iowa Surgeons PC 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226
Jeffre Duane Helmink General Surgery Northwest Iowa Surgeons PC 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226
Patrick James Slattery General Surgery Northwest Iowa Surgeons PC 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226
Jason Robert Keonin General Surgery Northwest Iowa Surgeons PC 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226
Brian Patrick Wilson Obstetrics/gynecology Northwest Iowa Surgeons PC 1823 Hwy Blvd, Suite 5, Spencer, IA 51301-2226
Amanda Ann Winterboer Optometry 1104 W 18th St, Spencer, IA 51301-2815
Jeffrey D Burns Chiropractic 1210 W 18th St, Spencer, IA 51301-2817
Find all physicians in zip 51301

Competitor

Search similar physicians

City SPENCER
Zip Code 51301
Specialty OTOLARYNGOLOGY
City + Specialty SPENCER + OTOLARYNGOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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