Individual
MACKENZIE JEANNE VAN REES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1940 BLAIRS FERRY RD STE 104, HIAWATHA, IA 52233-2076
(193) 393-0178
Mailing address
1940 BLAIRS FERRY RD STE 104, HIAWATHA, IA 52233-2076
(193) 393-0178
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
092632
IA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/25/2018
Last updated
06/23/2023
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