Individual
ESHA RANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2460 TOWNCREST DR, IOWA CITY, IA 52240
(319) 338-7862
(319) 338-2517
Mailing address
2460 TOWNCREST DR, IOWA CITY, IA 52240-6622
(319) 338-7862
(319) 338-2517
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05327
IA
207R00000X
Internal Medicine Physician
5101021166
MI
Other
Enumeration date
04/28/2014
Last updated
03/06/2019
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