Individual
JOHN J MEEHAN
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) 356-1766
(315) 384-6306
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1766
(315) 384-6306
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
34600
IA
208600000X
Surgery Physician
Primary
34600
IA
208600000X
Surgery Physician
MED-PHYS-LIC-12087
MT
2086S0102X
Surgical Critical Care Physician
MED-PHYS-LIC-12087
MT
2086S0120X
Pediatric Surgery Physician
34600
IA
2086S0120X
Pediatric Surgery Physician
MED-PHYS-LIC-12087
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268805
—
IA
01
—
47889
WELLMARK BCBS
IA
Enumeration date
08/04/2005
Last updated
04/28/2025
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