Individual
DR. MICHAEL ALLEN JURGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 LINCOLN CIR SE, SUITE 1, ORANGE CITY, IA 51041-1836
(712) 737-2000
Mailing address
1000 LINCOLN CIR SE, SUITE 1, ORANGE CITY, IA 51041-1836
(712) 737-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33722
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080164216
RR MEDICARE SEIC
IA
01
—
080195345
RR MEDICARE LOWDEN
IA
05
—
2214965
—
IA
01
—
P00748127
RR MEDICARE GBA
IA
Enumeration date
10/14/2005
Last updated
01/23/2013
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