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Individual

JONATHAN GIENGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
10101 RIDGEGATE PKWY, LONE TREE, CO 80124-5522

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M-17183
ID
208M00000X
Hospitalist Physician
Primary
M-17183
ID

Other

Enumeration date
03/22/2020
Last updated
02/01/2024
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