Individual
MARK E DYKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2538
(319) 356-4505
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2538
(319) 356-4505
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
24913
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259069
—
IA
01
—
25906
WELLMARK BCBS
IA
Enumeration date
08/26/2005
Last updated
11/29/2007
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