Individual
WENDY S BURESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1953 1ST AVE SE STE A1, CEDAR RAPIDS, IA 52402-5328
(319) 364-1055
(319) 362-1455
Mailing address
1953 1ST AVE SE STE A1, CEDAR RAPIDS, IA 52402-5328
(319) 364-1055
(319) 362-1455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21144
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151886
—
IA
Enumeration date
06/15/2006
Last updated
09/15/2008
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