Most Relevant Information
Provider Data
| NPI Number: | 1003027939 |
| Provider Name: | TODD MIKAEL ISAACSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 24765 |
Most Important Dates
| Enumeration Date: | 05/24/2007 |
| Last Updated: | 10/14/2021 |
Provider Practice Location
1 JACK FOSTER DR
SHENANDOAH
IA
516014586
Practice Location Phone/Fax
| Phone: | 7122467400 |
| Fax: | 7122467334 |
Provider Mailing Location
300 PERSHING AVE
SHENANDOAH
IA
516012355
Provider Mailing Phone/Fax
| Phone: | 7122467101 |
| Fax: | 7122467340 |
Suggested EMR
Family Practice EMR