Individual
DANIEL JAY LEISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2055 KIMBALL AVE STE 400, WATERLOO, IA 50702-5047
(319) 272-0000
(319) 272-1329
Mailing address
2055 KIMBALL AVE STE 400, WATERLOO, IA 50702-5047
(319) 272-0000
(319) 272-1329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4279
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245506864
—
IA
Enumeration date
03/28/2012
Last updated
10/25/2017
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