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Individual

WANAKEE JACOBA CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5950 UNIVERSITY AVE STE 205, WEST DES MOINES, IA 50266-8231
(515) 875-9290
(515) 875-9291
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9255
(515) 875-9223

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
45370
IA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/08/2014
Last updated
12/29/2023
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