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Individual

CHANDLER KASUSKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2730 PIERCE ST STE 201, SIOUX CITY, IA 51104-3764
(712) 277-3141
(712) 277-2645
Mailing address
2730 PIERCE ST STE 201, SIOUX CITY, IA 51104-3764
(712) 277-3141

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
49017
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831684992
IA
Enumeration date
06/29/2018
Last updated
09/13/2022
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