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1881263598
MICHAEL WALLUM
IOWA CITY, IA
NPI
1881263598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IA R-12199)
Enumeration Date
2021-06-18
Last Update Date
2021-06-18
Business Address
MICHAEL WALLUM
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 760-808-3333
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Mailing Address
MICHAEL WALLUM
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-2233
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