# OBSTETRIC AND GYNECOLOGIC ASSOCIATES OF IOWA CITY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700870649
- **Authorized official:** LORI S WENZEL M.D. (PRESIDENT)
- **Authorized official phone:** (319) 337-3193

## Contact information

- **Practice address:** 2769 HEARTLAND DR, SUITE 201, CORALVILLE, IA 52241-2732
- **Practice address phone:** (319) 337-3193
- **Practice address fax:** (319) 545-4570
- **Mailing address:** 2769 HEARTLAND DR, SUITE 201, CORALVILLE, IA 52241-2732
- **Mailing address phone:** (319) 337-3193
- **Mailing address fax:** (319) 545-4570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2005
- **Last updated:** 12/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0089979 | — | IA |
| 01 | — | 08997 | BC/BS | IA |
| 01 | — | A002306 | CHAMPUS | IA |
| 01 | — | CP8135 | RAILROAD | IA |