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NPI Code Detail

MEDICARE: DR. THOMAS J BOLLINGER MD

MEDICARE: DR. THOMAS J BOLLINGER MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician38925IA
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician036157178IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073764627
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS J BOLLINGER MD
Provider Business Mailing Address
First Line : 1026 A AVE NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5036
Country : US
Telephone Number : 319-369-7002
Fax Number : 319-369-8095
Provider Business Practice Location Address
First Line : 1026 A AVE NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5036
Country : US
Telephone Number : 319-369-7002
Fax Number : 319-369-8095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2008
Last Update Date : 03/09/2026

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