Wilson, Mark Cooper

Wilson, Mark Cooper is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Wilson, Mark Cooper can be contacted via phone (319) 356-4241.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242
Phone: (319) 356-4241
Fax: (319) 356-3086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35455 Iowa
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD-35455 Iowa

Profile Details

NPI number 1356323786
LBN Legal business name Wilson, Mark Cooper
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jun 14th, 2018 - about 8 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 1356323786 NPPES
Iowa Other 04278 WELLMARK BCBS
Iowa MEDICAID 0431981 WELLMARK BCBS

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