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Individual

TAHSEEN HUSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3886
(319) 233-1630
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 233-1630

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20188
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1127407
IA
01
421417307 B6
JOHN DEERE HEALTH INS
IA
01
46316
WELLMARK INS PLAN
IA
Enumeration date
05/23/2006
Last updated
09/06/2007
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