Individual
MR. ALEC MARSHALL ANTANAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 W LINCOLN WAY, JEFFERSON, IA 50129-1685
(515) 386-2114
(515) 386-8899
Mailing address
1002 W LINCOLN WAY, JEFFERSON, IA 50129-1645
(515) 386-0500
(515) 386-8899
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
H184694
IA
Other
Enumeration date
06/30/2025
Last updated
03/13/2026
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