Individual
ALEXANDER GABRIEL BASSUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1851
(319) 356-4855
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1851
(319) 356-4855
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D36106050
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
37386
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106050
—
IL
01
—
70050
WELLMARK BCBS
IA
Enumeration date
02/27/2006
Last updated
12/10/2008
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