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LOIS B DUSDIEKER

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) 353-6337
(319) 384-6295
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6337
(319) 384-6295

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20622
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0139022
IA
01
13902
WELLMARK BCBS
IA
Enumeration date
09/16/2005
Last updated
11/29/2007
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