Individual
JACOB MATTHEW WEASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 WOODLAND AVE, SUITE 140, DES MOINES, IA 50309-3203
(515) 241-4078
(515) 241-4080
Mailing address
1415 WOODLAND AVE, SUITE 140, DES MOINES, IA 50309-3203
(515) 241-4078
(515) 241-4080
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R-9654
IA
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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