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NPI Code Detail

MEDICARE: ANTHONY JOHN WOBETER MS

MEDICARE: ANTHONY JOHN WOBETER MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist00693IA

General Provider Information

NPI Number : 1669443347
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY JOHN WOBETER MS
Provider Business Mailing Address
First Line : 2605 BLUFFWOOD CIR
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-3513
Country : US
Telephone Number : 319-331-2598
Fax Number :
Provider Business Practice Location Address
First Line : 2605 BLUFFWOOD CIR
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-3513
Country : US
Telephone Number : 319-331-2598
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 03/22/2011

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Directions to “ ANTHONY JOHN WOBETER MS” Practice Location

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