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Individual

MICHAEL TAKACS

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) 384-6562
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-6562

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
228123-1
NY
207P00000X
Emergency Medicine Physician
Primary
36540
IA
207P00000X
Emergency Medicine Physician
M0940
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0498865
IA
01
09727
WELLMARK BCBS
IA
Enumeration date
01/28/2006
Last updated
11/27/2007
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