Individual
MS. MARIE DE ALWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
855 A AVE NE, SUITE 300, CEDAR RAPIDS, IA 52402-5057
(319) 368-9300
(319) 368-5690
Mailing address
855 A AVE NE, SUITE 300, CEDAR RAPIDS, IA 52402-5057
(319) 368-9300
(319) 368-5690
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD41955
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629361506
—
IA
Enumeration date
05/25/2011
Last updated
10/04/2014
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