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Individual

DR. MICHAEL B EDMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 HAWKINS DR, DEPARTMENT OF INTERNAL MEDICINE, IOWA CITY, IA 52242-1009
(319) 353-8352
(319) 353-7043
Mailing address
200 HAWKINS DR, DEPARTMENT OF INTERNAL MEDICINE, IOWA CITY, IA 52242-1009
(319) 353-8352
(319) 353-7043

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101053269
VA
207RI0200X
Infectious Disease Physician
Primary
0101053269
VA
207RI0200X
Infectious Disease Physician
28758
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6067603
VA
Enumeration date
10/13/2006
Last updated
04/08/2022
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