Provider Demographics
NPI:1528042066
Name:GEIJER, MATS E (MD)
Entity Type:Individual
Prefix:
First Name:MATS
Middle Name:E
Last Name:GEIJER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DRIVE
Mailing Address - Street 2:UNIVERISTY OF IOWA HOSPITALS & CLINICS
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1082
Mailing Address - Country:US
Mailing Address - Phone:319-356-2188
Mailing Address - Fax:319-356-2220
Practice Address - Street 1:200 HAWKINS DRIVE
Practice Address - Street 2:UNIVERISTY OF IOWA HOSPITALS & CLINICS
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1082
Practice Address - Country:US
Practice Address - Phone:319-356-2188
Practice Address - Fax:319-356-2220
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IASP1732085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0473272Medicaid
IA39652OtherWELLMARK BCBS
IAI16050Medicare ID - Type Unspecified
I42503Medicare UPIN