Organization
THOMAS E JESSEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS EDGAR JESSEN MD (PRESIDENT)
(641) 792-2380
Entity
Organization
Contact information
Practice address
300 N 4TH AVE E STE 140A, NEWTON, IA 50208-3122
(641) 792-2380
(641) 792-6184
Mailing address
300 N 4TH AVE E STE 140A, NEWTON, IA 50208-3122
(641) 792-2380
(641) 792-6184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17964
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063651
—
IA
Enumeration date
07/09/2008
Last updated
07/09/2008
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