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Individual

JOHN ANDREW BERTOLATUS

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) 356-8225
(319) 356-2999
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8225
(319) 356-2999

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21925
IA
207RN0300X
Nephrology Physician
Primary
21925
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0172098
IA
01
17209
WELLMARK BCBS
IA
Enumeration date
10/04/2005
Last updated
11/28/2007
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