Individual
CHRISTIAN MICHAEL PETTKER
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) 356-2294
(319) 356-1894
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2294
(319) 356-1894
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD-53234
IA
207VM0101X
Maternal & Fetal Medicine Physician
42315
CT
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD-53234
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001423158
—
CT
Enumeration date
11/22/2005
Last updated
08/15/2024
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