Individual
DR. TIMOTHY WITALKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6037
Mailing address
2043 13TH ST, CORALVILLE, IA 52241-1375
(815) 488-1619
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-45415
IA
Other
Enumeration date
06/10/2016
Last updated
05/07/2020
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