Individual
DR. JOHN HUGH WOLLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5264 COUNCIL ST NE STE 700, CEDAR RAPIDS, IA 52402-2477
(319) 363-9936
(319) 363-0520
Mailing address
716 5TH AVE SE, CEDAR RAPIDS, IA 52401-1916
(319) 363-9936
(319) 363-0520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25852
IA
207N00000X
Dermatology Physician
Primary
MD-25852
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0245803
—
IA
01
—
24580
WELLMARK BCBS
IA
Enumeration date
03/31/2006
Last updated
03/28/2022
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