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Individual

DEBORAH W WILBUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
701 10TH ST SE, HPCC 3RD FLOOR, CEDAR RAPIDS, IA 52403-1251
(319) 363-8303
(319) 364-4659
Mailing address
701 10TH ST SE, HPCC 3RD FLOOR, CEDAR RAPIDS, IA 52403-1251
(319) 363-8303
(319) 364-4659

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
34639
IA
207RX0202X
Medical Oncology Physician
Primary
34639
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11429
WELLMARK BC/BS
IA
05
1264549
IA
01
P00321055
RAILROAD MEDICARE
IA
Enumeration date
05/09/2006
Last updated
03/12/2014
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