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Individual

DR. MAURICE C CHAMPION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2769 HEARTLAND DR STE 205, CORALVILLE, IA 52241-2732
(319) 887-2900
(319) 887-2904
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 887-2900
(319) 887-2904

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-16689
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0058339
IA
01
49884
WELLMARK
IA
Enumeration date
08/11/2005
Last updated
04/17/2024
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