Individual
DR. DANIEL L JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 GRAND AVE, SPENCER, IA 51301-3641
(712) 262-8120
(712) 262-7028
Mailing address
PO BOX 1194, SPENCER, IA 51301-1194
(712) 262-8120
(712) 262-7028
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21909
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040001744
PALMETTO GBA RAILROAD MED
IA
01
—
124518
MINNESOTA UCARE
MN
01
—
1438
MIDLANDS CHOICE
IA
05
—
2005553
—
IA
01
—
32820
HEALTH PARTNERS
IA
01
—
7713740
SOUTH DAKOTA MEDICAL ASSI
SD
Enumeration date
01/23/2006
Last updated
07/12/2016
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