Healthcare Provider Details

I. General information

NPI: 1538104039
Provider Name (Legal Business Name): PETER J HOHNSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 SAINT FRANCIS DR SUITE 410
WATERLOO IA
50702-5619
US

IV. Provider business mailing address

2101 KIMBALL AVE # LL14
WATERLOO IA
50702-5036
US

V. Phone/Fax

Practice location:
  • Phone: 319-272-5000
  • Fax: 319-272-5264
Mailing address:
  • Phone: 319-272-1590
  • Fax: 319-272-1535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD-32592
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: