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1427626654
CARLY VAN DER HEIDE
IOWA CITY, IA
NPI
1427626654
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Former Name
CARLY LEWIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: IA R-12195)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
CARLY VAN DER HEIDE MD, PHD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-1616
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Mailing Address
CARLY VAN DER HEIDE MD, PHD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-1616
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