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Contact Information

JAMES A WIESE, MD
2769 HEARTLAND DRIVE
SUITE 105
CORALVILLE, IA52241
 Phone: 319-545-7300
 Fax: 319-545-7314
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JAMES A WIESE · (Male)

NPI Number 1588610661
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 04/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 24575
  • IA Medicaid 0057497
  • IA Medicaid 0081794
  • IA Medicaid 3081794
  • IA Other 19476 BLUE CROSS BLUE SHIELD
  • IA Other 27997 BLUE CROSS BLUE SHIELD
  • IA Other 32811 BLUE CROSS BLUE SHIELD
  • IA Other 42859 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • MARENGO MEMORIAL HOSPITAL - (Critical Access)
    300 W MAY ST
    MARENGO, IA 52301
  • MERCY HOSPITAL - (Acute Care)
    500 E MARKET STREET
    IOWA CITY, IA 52245
  • UNIVERSITY OF IOWA HOSPITAL & CLINICS - (Acute Care)
    200 HAWKINS DRIVE
    IOWA CITY, IA 52242
  • WASHINGTON COUNTY HOSPITAL - (Critical Access)
    400 EAST POLK STREET
    WASHINGTON, IA 52353
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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