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Individual

JACK C KADEMIAN

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) 356-3375
(319) 356-2220
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3375
(319) 356-2220

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
35875
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0454769
IA
01
38058
WELLMARK BCBS
IA
Enumeration date
12/15/2005
Last updated
05/02/2025
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