Individual
JO MARIE NEUBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101
(712) 279-2066
Mailing address
610 BROADWAY AVE, YANKTON, SD 57078-3516
(605) 665-1855
(605) 664-0620
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1233
SD
207P00000X
Emergency Medicine Physician
17716
NE
207P00000X
Emergency Medicine Physician
Primary
25968
IA
207P00000X
Emergency Medicine Physician
6429
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067108
—
IA
01
—
241786
BLUE CROSS
IA
Enumeration date
10/12/2006
Last updated
07/08/2007
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