Individual
JOSEPH M WANZEK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3434 W BROADWAY, SUITE 100, COUNCIL BLUFFS, IA 51501-3291
(712) 325-0022
Mailing address
3434 W BROADWAY, STE 100, COUNCIL BLUFFS, IA 51501-3291
(712) 325-0022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34008621
OH
207Q00000X
Family Medicine Physician
Primary
3861
IA
207Q00000X
Family Medicine Physician
5101016678
MI
Other
Enumeration date
08/21/2006
Last updated
04/18/2012
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