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Individual

DR. MICHAEL L WOLTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1911 1ST AVE SE, CEDAR RAPIDS, IA 52402-5320
(319) 366-1503
(319) 366-6976
Mailing address
1911 1ST AVE SE, CEDAR RAPIDS, IA 52402-5320
(319) 366-1503
(319) 366-6976

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34694
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0258749
IA
Enumeration date
08/16/2006
Last updated
02/14/2022
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