Individual
DR. LEE DARON BIRCHANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1136 H AVE NE, CEDAR RAPIDS, IA 52402-4624
(319) 362-9855
(319) 362-0655
Mailing address
1136 H AVE NE, CEDAR RAPIDS, IA 52402-4624
(319) 362-9855
(319) 362-0655
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26858
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07593
WELLMARK BCBS
—
01
—
180006441
RAILROAD MEDICARE
—
05
—
2265686
—
IA
01
—
42137560201
HERITAGE
—
01
—
5340733
AETNA
—
Enumeration date
09/07/2005
Last updated
01/04/2011
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