Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 19923 | IA |
N | 207VG0400X | Gynecologist | 19923 | IA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 19923 | IA |
NPI | 1306830591 |
---|---|
Provider Name | Frank J Zlatnik |
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 | 02/09/2005 |
Last Update Date | 19/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0099416 | (05) | IA |
09941 | WELLMARK BCBS (01) | IA |
A01056 | (02) |