Individual
KALE STEPHEN BONGERS
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) 356-8133
(319) 384-8680
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8133
(319) 384-8680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301117077
MI
207R00000X
Internal Medicine Physician
MD-52829
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD-52829
IA
207RP1001X
Pulmonary Disease Physician
4301117077
MI
207RP1001X
Pulmonary Disease Physician
Primary
MD-52829
IA
390200000X
Student in an Organized Health Care Education/Training Program
4301117077
MI
Other
Enumeration date
05/23/2016
Last updated
08/06/2024
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