Individual
FREDERICK C JOHLIN JR.
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) 356-4901
(319) 384-8559
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4901
(319) 384-8559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23554
IA
207RG0100X
Gastroenterology Physician
Primary
23554
IA
207RI0008X
Hepatology Physician
23554
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215855
—
IA
01
—
21585
WELLMARK BCBS
IA
Enumeration date
10/04/2005
Last updated
09/02/2021
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