Individual
SEAN GREGORY WESTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 9TH ST SW, WAVERLY, IA 50677-2999
(319) 483-1390
Mailing address
312 9TH ST SW, WAVERLY, IA 50677-2999
(319) 483-1390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-52039
IA
207Q00000X
Family Medicine Physician
R-12444
IA
Other
Enumeration date
05/11/2022
Last updated
09/17/2025
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