Individual
DR. MIR AHMAD WAZIRI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 W DALE STREET, SUITE 302, WATERLOO, IA 50703
(319) 235-3050
(319) 235-0021
Mailing address
212 W DALE STREET, SUITE 302, WATERLOO, IA 50703
(319) 235-3050
(319) 235-0021
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
27227
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279836
—
IA
01
—
27936
BLUE CROSS BLUE SHIELD
IA
Enumeration date
04/19/2006
Last updated
07/08/2007
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