Provider Demographics
NPI:1154351997
Name:WARD, ERIN DEAN (DPM)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:DEAN
Last Name:WARD
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 1:1302 WARFORD ST
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:IA
Mailing Address - Zip Code:50220-1622
Mailing Address - Country:US
Mailing Address - Phone:515-465-4821
Mailing Address - Fax:515-465-9417
Practice Address - Street 1:1302 WARFORD ST
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:IA
Practice Address - Zip Code:50220-1622
Practice Address - Country:US
Practice Address - Phone:515-465-4821
Practice Address - Fax:515-465-9417
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0684213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI3058Medicare ID - Type Unspecified