Individual
JACINTHE ROULEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DRIVE 11128 PFP, UNIVERSITY OF IOWA HOSPITALS AND CLINICS, IOWA CITY, IA 52242
(319) 356-2864
(319) 356-0363
Mailing address
200 HAWKINS DRIVE 11128 PFP, UNIVERSITY OF IOWA HOSPITALS AND CLINICS, IOWA CITY, IA 52242
(319) 356-2864
(319) 356-0363
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36651
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0735993
—
IA
01
—
25189
WELLMARK BCBS
IA
Enumeration date
08/09/2006
Last updated
07/08/2007
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