Provider Demographics
NPI:1184793358
Name:WESNER, ROBERT BRIAN (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:BRIAN
Last Name:WESNER
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 1:103 E COLLEGE STREET
Mailing Address - Street 2:SUITE 220
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4008
Mailing Address - Country:US
Mailing Address - Phone:319-351-8281
Mailing Address - Fax:319-466-9030
Practice Address - Street 1:103 E COLLEGE STREET
Practice Address - Street 2:SUITE 220
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4008
Practice Address - Country:US
Practice Address - Phone:319-351-8281
Practice Address - Fax:319-466-9030
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA25170174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA421353685Medicare UPIN