Individual
WILLIAM J WICKEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 LAUREL ST, SUITE A250, DES MOINES, IA 50314
(515) 235-5000
(515) 288-6713
Mailing address
411 LAUREL ST STE 1225, DES MOINES, IA 50314-3017
(515) 235-5000
(515) 288-6713
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
MD-22328
IA
207RC0000X
Cardiovascular Disease Physician
22328
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180240
—
IA
Enumeration date
11/17/2005
Last updated
06/28/2018
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