Individual
MICHAEL G KIENZLE
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) 335-9788
(319) 335-8034
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 335-9788
(319) 335-8034
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
24251
IA
207RC0001X
Clinical Cardiac Electrophysiology Physician
24251
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218180
—
IA
01
—
21818
WELLMARK BCBS
IA
Enumeration date
11/30/2005
Last updated
12/11/2007
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