Individual
SERGEI I SYRBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7372
(319) 384-8053
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7372
(319) 384-8053
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
34952
IA
207ZI0100X
Immunopathology Physician
Primary
34952
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432138
—
IA
01
—
04782
WELLMARK BCBS
IA
05
—
1432138
—
IA
01
—
36878
WELLMARK BCBS
IA
Enumeration date
10/06/2005
Last updated
12/18/2007
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