Individual
MIRELA BACEVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2055 KIMBALL AVE STE 101, WATERLOO, IA 50702-5047
(319) 272-2112
(319) 272-2107
Mailing address
2055 KIMBALL AVE STE 101, WATERLOO, IA 50702-5047
(319) 272-2112
(319) 272-2107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R10813
IA
208M00000X
Hospitalist Physician
Primary
2020-04036
NC
Other
Enumeration date
07/10/2017
Last updated
11/12/2025
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