Richard Jongewaard MD

NPI 1124188040 - Family Medicine - 207Q00000X

NPI Details
NPI 1124188040
Gender Male
Enumeration Date 12/11/2006
Last Updated 01/25/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
645 S MAIN AVE
SIOUX CENTER IA, 51250-1347, US
Phone (712) 722-2609
Fax (712) 722-8393
Business Location
645 S MAIN AVE
SIOUX CENTER IA, 51250-1347, US
Phone (712) 722-2609
Fax (712) 722-8393
Toxanomy
Taxonomy Code 207Q00000X
License State Iowa
License Number 19316
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According to our database, Richard Jongewaard MD NPI is 1124188040, taxonomy code is 207Q00000X and license number is 19316, license state is located at Iowa. Richard Jongewaard MD physically located at 645 S Main Ave, Sioux Center IA, 51250-1347. NPI Number Richard Jongewaard MD has the Individual type.

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1124188040 NPI number is provided on an as is basis without warranty of any kind. 1124188040 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Jongewaard MD are for informational purposes only.