Individual
WILLIAM JAGIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1750 48TH ST, SUITE 1, DES MOINES, IA 50310-1988
(515) 271-6333
(515) 271-6175
Mailing address
1055 6TH AVE, SUITE 200, DES MOINES, IA 50314-2607
(515) 643-8672
(515) 643-2784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01692
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2156455
—
IA
Enumeration date
08/05/2006
Last updated
07/08/2007
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