Charles Anthony Jennissen MD

NPI 1033194188 - Pediatrics - 2080P0204X

NPI Details
NPI 1033194188
Gender Male
Enumeration Date 12/13/2005
Last Updated 12/11/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
200 HAWKINS DR
IOWA CITY IA, 52242-1009, US
Phone (319) 356-6360
Fax (319) 384-9184
Business Location
200 HAWKINS DR
IOWA CITY IA, 52242-1009, US
Phone (319) 356-6360
Fax (319) 384-9184
Toxanomy
Taxonomy Code 2080P0204X
License State Iowa
License Number 26724
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According to our database, Charles Anthony Jennissen MD NPI is 1033194188, taxonomy code is 2080P0204X and license number is 26724, license state is located at Iowa. Charles Anthony Jennissen MD physically located at 200 Hawkins Dr, Iowa City IA, 52242-1009. NPI Number Charles Anthony Jennissen MD has the Individual type.

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1033194188 NPI number is provided on an as is basis without warranty of any kind. 1033194188 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Anthony Jennissen MD are for informational purposes only.