Individual
JON VANROEKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 NW 114TH ST., SUITE 345, CLIVE, IA 50325-7007
(515) 222-7337
(515) 222-7340
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7337
(515) 222-7340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28623
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1136630
—
IA
05
—
2136630
—
IA
01
—
32012
WELLMARK BLUE SHIELD
IA
Enumeration date
08/30/2006
Last updated
08/08/2013
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