Individual
JEROME GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 48TH ST, SUITE 2, DES MOINES, IA 50310-1988
(515) 271-6300
Mailing address
1055 6TH AVE, SUITE 200, DES MOINES, IA 50314-2607
(515) 643-8672
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28995
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2091207
—
IA
01
—
21573
WELLMARK
IA
Enumeration date
09/13/2006
Last updated
07/08/2007
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