Individual
JESSE DONNENWERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
S-210 CARVER-HAWKEYE-ARENA, IOWA CITY, IA 52242-5224
(319) 631-3228
Mailing address
S-210 CARVER-HAWKEYE-ARENA, IOWA CITY, IA 52242
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000965
IA
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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