Individual
MICHELLE THERESE WECKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6314
(319) 353-7788
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6314
(319) 353-7788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34940
IA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
34940
IA
2084P0800X
Psychiatry Physician
Primary
34940
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2433748
—
IA
01
—
55727
WELLMARK BCBS
IA
Enumeration date
03/01/2006
Last updated
07/01/2009
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