Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2010017197 | MO |
Y | 207V00000X | Obstetrician & Gynecologist | MD-43062 | IA |
NPI | 1013237601 |
---|---|
Provider Name | Kaichun Wei |
First Address | Fort Madison, IA 52627-9601 |
Second Address | Fort Madison, IA 52627-9601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2010 |
Last Update Date | 03/04/2016 |