Individual
RHONDA J ENSERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
974 73RD ST, SUITE 30, WINDSOR HEIGHTS, IA 50312-1024
(515) 224-4993
(515) 224-1505
Mailing address
974 73RD ST, SUITE 30, WINDSOR HEIGHTS, IA 50312-1024
(515) 224-4993
(515) 224-1505
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32900
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190801
—
IA
05
—
1386621415
—
IA
01
—
370013577
RR MEDICARE
IA
Enumeration date
12/29/2005
Last updated
05/22/2012
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