Individual
JEFFREY M MAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
515 PACIFIC AVE, AUDUBON, IA 50025-1056
(712) 563-5304
(712) 563-5275
Mailing address
515 PACIFIC AVE, AUDUBON, IA 50025-1056
(712) 563-2611
(712) 563-5298
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3603
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0453886
—
IA
Enumeration date
08/20/2006
Last updated
09/25/2018
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