Individual
SUSAN L ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2353
(319) 353-8383
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2353
(319) 353-8383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO-03218
IA
207RH0000X
Hematology (Internal Medicine) Physician
DO-03218
IA
207RH0003X
Hematology & Oncology Physician
03218
IA
207RX0202X
Medical Oncology Physician
Primary
DO-03218
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274845
—
IA
01
—
50708
WELLMARK BCBS
IA
Enumeration date
03/30/2006
Last updated
09/11/2019
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