Individual
DR. NATHANIEL DAVID WISECUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2209
(319) 338-0581
Mailing address
2601 WILSON AVE SW, CEDAR RAPIDS, IA 52404-2463
(515) 357-3523
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
084128
IA
237700000X
Hearing Instrument Specialist
082304
IA
Other
Enumeration date
07/08/2016
Last updated
09/16/2019
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