Individual
KERMSHLISE CATHCHUSCA ILITCHA PICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 621-2435
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-13228
IA
2084P0800X
Psychiatry Physician
R-13228
IA
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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