Individual
DR. JENNIFER R AANESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
619 5TH ST, DURANT, IA 52747-7737
(563) 785-4487
(563) 785-6681
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35343
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450395
—
IA
01
—
101683
HEALTH ALLIANCE
—
01
—
4796890001
DMERC
—
01
—
IA01M6
JOHN DEERE MEDICAL PLANS
—
Enumeration date
06/16/2005
Last updated
07/17/2007
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