Individual
TIMOTHY F KRESOWIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242
(319) 356-7976
(319) 384-6306
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7976
(319) 384-6306
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
26571
IA
2086S0129X
Vascular Surgery Physician
Primary
MD-26571
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0261362
—
IA
01
—
26136
WELLMARCK BCBS
IA
Enumeration date
08/17/2005
Last updated
05/29/2018
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