Individual
JOHN F FIESELMANN
Active
Individual
JOHN F FIESELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19045
IA
207RP1001X
Pulmonary Disease Physician
Primary
19045
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263509
—
IA
01
—
26350
WELLMARK BCBS
IA
Enumeration date
11/21/2005
Last updated
11/30/2007
Update your record
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