Individual
WILLIAM I SIVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-7710
(319) 353-7850
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-7710
(319) 353-7850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26236
IA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
26236
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0252155
—
IA
01
—
25215
WELLMARK BCBS
IA
Enumeration date
10/07/2005
Last updated
12/18/2007
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