Individual
MIRAC N. INCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4901
(319) 384-8559
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4901
(319) 384-8559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37388
IA
207RG0100X
Gastroenterology Physician
Primary
37388
IA
207RG0100X
Gastroenterology Physician
R-7173
IA
207RI0008X
Hepatology Physician
37388
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70051
WELLMARK BCBS
IA
Enumeration date
05/22/2007
Last updated
11/17/2020
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