Individual
RENU BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1731 W RIDGEWAY AVE STE 100, WATERLOO, IA 50701-4591
(319) 833-6200
(319) 833-6201
Mailing address
1731 W RIDGEWAY AVE STE 100, WATERLOO, IA 50701-4591
(319) 833-6200
(319) 833-6201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
298391
IA
Other
Enumeration date
07/18/2007
Last updated
12/14/2015
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