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Individual
JOHN C DANNENFELDT
Active
Individual
JOHN C DANNENFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036059049
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020348
HEALTH ALLIANCE
—
05
—
036059049
—
IL
01
—
20127
IOWA HEALTH SOLUTIONS
—
01
—
4796890014
DMERC
—
01
—
97788
WELLMARK BC/BS
IA
01
—
97835
WELLMARK BC/BS
IA
01
—
IL0120
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/16/2005
Last updated
04/13/2021
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