MEDICARE: MICHAEL A FLAUM 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
1	2084P0800X	Psychiatry Physician	26692	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	26302	OTHER	IA	WELLMARK BCBS

General Provider Information

NPI Number	:	1700872348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A FLAUM MD

Provider Business Mailing Address
First Line	:	200 HAWKINS DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1009
Country	:	US
Telephone Number	:	319-353-4340
Fax Number	:	319-353-5439

Provider Business Practice Location Address
First Line	:	1164 E COURT ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-3232
Country	:	US
Telephone Number	:	319-330-3599
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	05/17/2018

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