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Individual

JESSE R VAN MAANEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4298
(641) 672-3394
(641) 672-3336
Mailing address
1229 C AVE E, OSKALOOSA, IA 52577-4298
(641) 672-3394
(641) 672-3336

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD-48817
IA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/13/2016
Last updated
09/07/2021
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