Individual
DR. JOEL SHILYANSKY
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) 356-1763
(319) 356-8378
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1763
(319) 356-8378
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
37045
IA
2086S0120X
Pediatric Surgery Physician
Primary
37045
IA
2086S0120X
Pediatric Surgery Physician
42790
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0749655
—
IA
01
—
29490
WELLMARK BCBS
IA
05
—
34019800
—
WI
Enumeration date
05/12/2006
Last updated
11/26/2007
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