Individual
NIKOLAOS KOUTSONIKOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, DEPT OF ANESTHESIOLOGY, IOWA CITY, IA 52242-1009
(563) 580-4107
Mailing address
200 HAWKINS DR, DEPT OF ANESTHESIOLOGY, IOWA CITY, IA 52242-1009
(563) 580-4107
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
31824
IA
207L00000X
Anesthesiology Physician
Primary
ME80240
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152900
—
IA
05
—
32401900
—
WI
Enumeration date
02/03/2006
Last updated
12/30/2019
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