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410 N Ankeny Blvd Ankeny IA 50023-1753 | |
(515) 964-1601 | |
Not Available |
Full Name | |
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Speciality | Nurse Practitioner |
Location | 410 N Ankeny Blvd, Ankeny, Iowa |
Authorized Official Name and Position | Michael P. Jurgens (CHAIR OF THE BOARD OF MANAGERS) |
Authorized Official Contact | 5152672880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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410 N Ankeny Blvd Ankeny IA 50023-1753 Ph: (515) 964-1601 | 410 N Ankeny Blvd Ankeny IA 50023-1753 Ph: (515) 964-1601 |
NPI Number | 1801044581 |
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Provider Enumeration Date | 09/05/2008 |
Last Update Date | 03/23/2009 |
Identifier | Type | State | Issuer |
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1801044581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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