Individual
TIMOTHY F KRESOWIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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