Individual
ROBERT B WALLACE
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) 384-5005
(319) 384-5004
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-5005
(319) 384-5004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18838
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09553
WELLMARK BCBS
IA
05
—
095539
—
IA
Enumeration date
02/08/2006
Last updated
12/19/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us