Individual
WASON W LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5230
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4342
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35663
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03665
BCBS
NE
01
—
04307
BCBSNE FOR IOWA
—
05
—
0443440
—
IA
05
—
0719153
—
IA
05
—
100249951-00
—
NE
05
—
100251147-00
—
NE
05
—
100251217-00
—
NE
01
—
244686
MLDCH & MUTUAL OF OMAHA
NE
01
—
37051
WELLMARK BCBS
IA
01
—
39-01955
SHAREADVANTAGE
NE
01
—
39-01956
SHAREADVANTAGE
NE
01
—
39-01958
SHARE ADVANTAGE IOWA
—
05
—
4443440
—
IA
01
—
P00170245
RRMEDICARE IOWA
IA
Enumeration date
05/12/2006
Last updated
08/31/2023
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