Basic Information
| Provider Information | |||||||||
| NPI: | 1396795779 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DREESSEN | ||||||||
| FirstName: | ADRIAN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4750 HEMPSTEAD STATION DR | ||||||||
| Address2: | |||||||||
| City: | KETTERING | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454295164 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8008750136 | ||||||||
| FaxNumber: | 9376194342 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 MERCY DR | ||||||||
| Address2: | |||||||||
| City: | COUNCIL BLUFFS | ||||||||
| State: | IA | ||||||||
| PostalCode: | 515033128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7123285230 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2006 | ||||||||
| LastUpdateDate: | 06/16/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 35225 | IA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 233301 | 01 | NE | MLDCH AND MUTL OF OMAHA | OTHER | 100251147-00 | 05 | NE | MEDICAID | 39-01551 | 01 | IA | SHARE ADVNT IOWA | OTHER | 100249951-00 | 05 | NE | MEDICAID | P00068630 | 01 | NE | RAILORAD MEDICARE | OTHER | P00116322 | 01 | IA | RRCARE FOR IOWA | OTHER | 100251217-00 | 05 | NE | MEDICAID | 39-01552 | 01 | NE | SHAREADVANTAGE | OTHER | 01304 | 01 | IA | BCBSNE FOR IOWA | OTHER | 3568014 | 05 | IA | MEDICAID | 39-01550 | 01 | NE | SHAREADVANTAGE | OTHER | 5568014 | 05 | IA | MEDICAID | 4568014 | 05 | IA | MEDICAID | 01173 | 01 | NE | BCBS | OTHER | 35229 | 01 | BCBS | OTHER |