Individual
WAYNE E RICHENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 E JEFFERSON ST, SUITE 401, IOWA CITY, IA 52245-2477
(319) 688-7733
(319) 688-7734
Mailing address
PO BOX 2027, IOWA CITY, IA 52244-2027
(319) 339-3541
(319) 358-2737
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
29203
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099622
—
IA
01
—
11910
WELLMARK BCBS
IA
Enumeration date
08/24/2005
Last updated
12/24/2012
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