Individual
DR. WILLIAM G HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
308 N. MAPLE AVENUE, NEW HAMPTON, IA 50659-1154
(641) 394-2151
(641) 394-3150
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 494-3041
(641) 494-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22613
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05434
WELLMARK
IA
05
—
3221408
—
IA
Enumeration date
08/31/2006
Last updated
01/28/2010
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