Individual
DUANE M JOLIVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N 4TH AVE E, STE 200, NEWTON, IA 50208-3155
(641) 792-2112
(641) 792-8484
Mailing address
300 N 4TH AVE E, STE 200, NEWTON, IA 50208-3155
(641) 792-2112
(641) 792-8484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33076
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187195
—
IA
Enumeration date
03/27/2006
Last updated
07/03/2012
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