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Individual

DR. DANIEL L JORGENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
Update your record

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