Individual
WIESLAW MACHNOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 10TH ST SE # LEVEL4, CEDAR RAPIDS, IA 52403-1251
(319) 861-7900
(319) 861-7950
Mailing address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 368-7900
(319) 368-5690
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29984
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109330
—
IA
05
—
1629056957
—
IA
Enumeration date
01/06/2006
Last updated
04/04/2018
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