Individual
JANE M. GANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1607 N LINCOLN ST, KNOXVILLE, IA 50138
(515) 718-5389
(641) 828-5312
Mailing address
1607 N LINCOLN ST, KNOXVILLE, IA 50138
(515) 718-5389
(641) 828-5312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1076
IA
363AS0400X
Surgical Physician Assistant
Primary
001076
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42968100
—
WI
Enumeration date
03/23/2006
Last updated
06/19/2020
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