Individual
RENEE ELIZABETH NYDEGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4189 WESTLAWN S, STUDENT HEALTH SERVICES, IOWA CITY, IA 52242-1100
(319) 335-8370
(319) 335-7247
Mailing address
4189 WESTLAWN S, STUDENT HEALTH SERVICES, IOWA CITY, IA 52242-1100
(319) 335-8370
(319) 335-7247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33617
IA
207Q00000X
Family Medicine Physician
44466
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27831
WELLMARK BCBS
IA
Enumeration date
10/25/2005
Last updated
10/02/2007
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