Wiesenfeld, Martin

Wiesenfeld, Martin is an individual health care provider with primary practice located at 701 10Th St Se Hpcc 3Rd Floor, Cedar Rapids IA 52403-1251. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Wiesenfeld, Martin can be contacted via phone (319) 363-8303.

Contact Information

Primary practice address
701 10Th St Se Hpcc 3Rd Floor Cedar Rapids IA 52403-1251
Phone: (319) 363-8303
Fax: (319) 364-4659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 20679 Iowa
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 20679 Iowa

Profile Details

NPI number 1740265404
LBN Legal business name Wiesenfeld, Martin
Credentials M.D., F.A.C.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Apr 30th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740265404 NPPES
Iowa Other 110045771 RAILROAD MEDICARE
Iowa MEDICAID 0163055 RAILROAD MEDICARE
Iowa Other 16305 RAILROAD MEDICARE

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