Individual
PETER DONNAN PARDUBSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 10TH STREET SE, CEDAR RAPIDS, IA 52403-2404
(319) 398-1545
(319) 399-2039
Mailing address
PO BOX 3178, CEDAR RAPIDS, IA 52406-3178
(319) 398-1583
(319) 399-2085
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036106445
IL
207X00000X
Orthopaedic Surgery Physician
34816
IA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
34816
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51989
WELLMARK
IA
Enumeration date
01/04/2006
Last updated
01/21/2014
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