Individual
MARK COOPER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242
(319) 356-4241
(319) 356-3086
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4241
(319) 356-3086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35455
IA
208M00000X
Hospitalist Physician
Primary
MD-35455
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04278
WELLMARK BCBS
IA
Enumeration date
11/21/2005
Last updated
04/09/2025
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