OrganizationActive
Healthsource of Iowa City, PC
NPI 1336408640 · Medical Specialty Clinic/Center · Iowa City, IA
Provider details
- NPI number
- 1336408640
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Wisdo, President(563) 508-9036
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
960 S 1st Ave
Iowa City, IA 52245-5210
Phone: (563) 508-9036
Approximate (ZIP-level) locationGet directions
Mailing address
960 S 1st Ave
Iowa City, IA 52245-5210
Registry dates
- Enumerated
- 2012-05-07
- Last updated
- 2012-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.