Individual
JASON A. HUISENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2015 W 5TH ST, STORM LAKE, IA 50588-3000
(712) 732-6650
(712) 732-6632
Mailing address
24 N 9TH ST, SUITE A, FORT DODGE, IA 50501-3905
(515) 574-6890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38213
IA
Other
Enumeration date
05/02/2007
Last updated
12/22/2016
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