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Individual
JENNIFER R NIEBYL
Active
Individual
JENNIFER R NIEBYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
26462
IA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
26462
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257691
—
IA
01
—
25769
WELLMARK BCBS
IA
Enumeration date
09/02/2005
Last updated
09/28/2007
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