Organization
OBSTETRIC AND GYNECOLOGIC ASSOCIATES OF IOWA CITY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI S WENZEL M.D. (PRESIDENT)
(319) 337-3193
Entity
Organization
Contact information
Practice address
2769 HEARTLAND DR, SUITE 201, CORALVILLE, IA 52241-2732
(319) 337-3193
(319) 545-4570
Mailing address
2769 HEARTLAND DR, SUITE 201, CORALVILLE, IA 52241-2732
(319) 337-3193
(319) 545-4570
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089979
—
IA
01
—
08997
BC/BS
IA
01
—
A002306
CHAMPUS
IA
01
—
CP8135
RAILROAD
IA
Enumeration date
09/07/2005
Last updated
12/08/2011
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