Individual
GRETCHEN E VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8558
(319) 356-4855
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8558
(319) 356-4855
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33405
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210658
—
IA
01
—
18411
WELLMARK BCBS
IA
Enumeration date
09/22/2005
Last updated
12/19/2007
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