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Individual

ANSHUL JAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4325 WILLIAMS BLVD, CEDAR RAPIDS, IA 52404
(319) 368-8400
Mailing address
4325 WILLIAMS BLVD, CEDAR RAPIDS, IA 52404
(319) 368-8400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-41170
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01371927
RR MEDICARE
IA
Enumeration date
07/22/2011
Last updated
11/08/2018
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