Individual
MICHAEL EDWIN ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
200 HAWKINS DR, UNIV OF IOWA DEPT OF FAMILY MED, 01291-A PFP, IOWA CITY, IA 52242-1009
(319) 384-7756
Mailing address
2996 WALNUT RIDGE LN NE, IOWA CITY, IA 52240-7997
(319) 354-4329
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
18806
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011858
—
IA
Enumeration date
02/23/2007
Last updated
07/08/2007
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