Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 37345 | IA |
N | 207X00000X | Orthopaedic Surgeon | 48992 | MN |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 37345 | IA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 37345 | IA |
NPI | 1124127865 |
---|---|
Provider Name | Nicolas O. Noiseux |
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 | 21/09/2006 |
Last Update Date | 24/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
70096 | WELLMARK BCBS (01) | IA |
I 63469 | (02) | MN |
P00451746 | (02) | IA |