Individual
AJAK MAYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 KIMBALL AVE STE 101, WATERLOO, IA 50702-5047
(319) 272-2112
Mailing address
1710 SE HERITAGE DR, WAUKEE, IA 50263-9689
(515) 639-1933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-12883
IA
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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