Individual
JOHN W ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7222
(319) 387-7822
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7222
(319) 387-7822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20645
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089862
—
IA
01
—
13677
WELLMARK BCBS
IA
Enumeration date
09/21/2005
Last updated
11/29/2007
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