Individual
ANNA THERESA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(855) 524-4001
(712) 325-2499
Mailing address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(855) 524-4001
(712) 325-2499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.071133
IL
207Q00000X
Family Medicine Physician
32578
NE
208M00000X
Hospitalist Physician
32578
NE
208M00000X
Hospitalist Physician
Primary
MD-53952
IA
Other
Enumeration date
06/13/2017
Last updated
12/04/2024
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