Wayne E Richenbacher
Cardiothoracic Vascular Surgeon
540 E Jefferson St Suite 401
Iowa City
, Iowa 52245-2477
Wayne E Richenbacher
Cardiothoracic Vascular Surgeon
540 E Jefferson St Suite 401
Iowa City
, Iowa 52245-2477
(319) 358-2737
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Wayne E Richenbacher
- Po Box 2027
- Iowa City, IA
- Zip : 52244-2027
- Fax : (319) 358-2737
- Phone : (319) 339-3541
Second Address
- Wayne E Richenbacher
- 540 E Jefferson St Suite 401
- Iowa City, IA
- Zip : 52245-2477
- Fax : (319) 688-7734
- Phone : (319) 688-7733
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 29203 | IA |
National Provider Identifier
| NPI | 1144213356 |
|---|---|
| Provider Name | Wayne E Richenbacher |
| First Address | Iowa City, IA 52244-2027 |
| Second Address | Iowa City, IA 52245-2477 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2005 |
| Last Update Date | 24/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0099622 | (05) | IA |
| 11910 | WELLMARK BCBS (01) | IA |
| B36439 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.