Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | R-11790 | IA |
NPI | 1043849300 |
---|---|
Provider Name | Charles Haddad Schlaepfer |
First Address | Iowa City, IA 52242 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2020 |
Last Update Date | 20/05/2020 |