Individual
DR. REBECCA S TUETKEN
Active
Individual
DR. REBECCA S TUETKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29956
IA
207RR0500X
Rheumatology Physician
Primary
29956
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126086
—
IA
01
—
51535
WELLMARK BCBS
IA
Enumeration date
10/17/2005
Last updated
12/19/2007
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