Individual
MARGARET L BOUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2510 CORRIDOR WAY, STE 6A, CORALVILLE, IA 52241-7604
(319) 384-8500
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000608
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46835
WELLMARK BCBS
IA
Enumeration date
09/29/2005
Last updated
10/24/2011
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