Individual
MICHAEL WALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(760) 808-3333
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2233
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD2026-0671
NM
207P00000X
Emergency Medicine Physician
MD2026-0671
NM
207P00000X
Emergency Medicine Physician
Primary
R-12199
IA
Other
Enumeration date
06/18/2021
Last updated
07/28/2026
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