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NPI Code Detail

MEDICARE: STEPHEN HENRY WOLKEN M.D.

MEDICARE:   STEPHEN HENRY WOLKEN  M.D.
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
1207W00000XOphthalmology Physician18039IA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1180022815OTHERIARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
342144513504OTHERIAJOHN DEERE HEALTH

General Provider Information

NPI Number : 1962409623
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN HENRY WOLKEN M.D.
Provider Business Mailing Address
First Line : 540 E JEFFERSON ST
Second Line : SUITE 201
City : IOWA CITY
State : IA
Zip : 52245-2477
Country : US
Telephone Number : 319-338-3623
Fax Number : 319-338-7289
Provider Business Practice Location Address
First Line : 540 E JEFFERSON ST
Second Line : SUITE 201
City : IOWA CITY
State : IA
Zip : 52245-2477
Country : US
Telephone Number : 319-338-3623
Fax Number : 319-338-7289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 12/03/2009

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Directions to “ STEPHEN HENRY WOLKEN M.D.” Practice Location

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