Individual
DR. BRYAN DAVID NETOLICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1730 1ST AVE NE, CEDAR RAPIDS, IA 52402-5433
(319) 365-3993
(319) 364-0116
Mailing address
PO BOX 1408, CEDAR RAPIDS, IA 52406-1408
(319) 365-3993
(319) 364-0116
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36197
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473249
—
IA
Enumeration date
11/20/2006
Last updated
09/09/2014
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