Individual
GRERK SUTAMTEWAGUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE, IOWA CITY, IA 52242-1009
(319) 356-1616
(319) 353-8383
Mailing address
200 HAWKINS DR, C32GH, IOWA CITY, IA 52242-1009
(319) 356-1616
(319) 353-8383
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD-43972
IA
207RH0003X
Hematology & Oncology Physician
R-09931
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2011
Last updated
01/29/2020
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