Individual
TIMOTHY A THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242
(319) 356-3890
(319) 384-5164
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3890
(319) 384-5164
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD-19793
IA
2086S0127X
Trauma Surgery Physician
19793
IA
2086S0129X
Vascular Surgery Physician
19793
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1189019
—
IA
01
—
36493
WELLMARK BCBS
IA
Enumeration date
08/17/2005
Last updated
06/08/2018
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