Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD-48780 | IA |
N | 2080P0207X | Pediatric Hematology-Oncologist | 68940-20 | WI |
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD-48780 | IA |
NPI | 1134501745 |
---|---|
Provider Name | Dr. Michael A Halyko |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2015 |
Last Update Date | 04/11/2021 |