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Individual

DR. JENNIFER M BURSTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1911 1ST AVE SE, CEDAR RAPIDS, IA 52402-5320
(319) 366-1503
(319) 366-6976
Mailing address
999 164TH AVE NE, BELLEVUE, WA 98008-3518
(425) 586-2338
(425) 957-0351

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
33047
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0258749
IA
Enumeration date
08/16/2006
Last updated
09/13/2021
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