Individual
DR. WHEALEN MOFFIT KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
193 SEDGEFORD SE, CEDAR RAPIDS, IA 52403-1716
(319) 365-8597
Mailing address
193 SEDGEFORD SE, CEDAR RAPIDS, IA 52403-1716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16436
IA
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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