Individual
DR. THOMAS FREDERIC VINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2615 NORTHGATE DR, IOWA CITY, IA 52245-9565
(319) 351-5680
(319) 351-8980
Mailing address
2615 NORTHGATE DR, IOWA CITY, IA 52245-9565
(319) 351-5680
(319) 351-8980
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
19539
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158121
—
IA
01
—
040004101
RAILROAD MEDICARE
—
05
—
0423459
—
IA
01
—
15812
WELLMARK
IA
Enumeration date
06/02/2006
Last updated
06/29/2011
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