Individual
JESS FIEDOROWICZ
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) 353-8536
(319) 384-5532
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-8536
(319) 384-5532
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36168
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02638
WELLMARK BCBS
IA
05
—
0468231
—
IA
Enumeration date
12/08/2005
Last updated
11/30/2007
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