Individual
DANIEL JOE HUISENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3105 GRAND AVE, AMES, IA 50010-4604
(515) 441-8124
(515) 441-8129
Mailing address
3105 GRAND AVE, AMES, IA 50010-4604
(515) 441-8124
(515) 441-8129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15726
IA
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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