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Individual

ANDREW J STEFANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1221 PLEASANT ST, STE 200, DES MOINES, IA 50309-1423
(515) 241-4019
(515) 241-4051
Mailing address
1221 PLEASANT ST, STE 200, DES MOINES, IA 50309-1423
(515) 241-4019
(515) 241-4051

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO-04612
IA
207R00000X
Internal Medicine Physician
R9030
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093027120
IA
01
P01364670
RR MEDICARE
IA
Enumeration date
07/06/2010
Last updated
02/11/2015
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