Individual
DR. INDERJIT SINGH PANESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1 EDMUNDSON PL, STE 500, COUNCIL BLUFFS, IA 51503-4619
(712) 323-5333
(712) 323-3252
Mailing address
1 EDMUNDSON PL, STE 500, COUNCIL BLUFFS, IA 51503-4619
(712) 323-5333
(712) 323-3252
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
252
NE
213E00000X
Podiatrist
Primary
500
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1080697
—
IA
01
—
20945
WELLMARK
IA
Enumeration date
07/09/2005
Last updated
07/12/2012
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