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Individual

RAYMOND TODD WIBLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
105 E 9TH ST, CORALVILLE, IA 52241-2209
(319) 467-2000
(319) 467-2152
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4241
(319) 356-3086

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29236
IA
207RI0200X
Infectious Disease Physician
29236
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0114314
IA
01
17249
WELLMARK BCBS
IA
Enumeration date
11/21/2005
Last updated
07/06/2021
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