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Individual

JOSEPH THOMAS JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
505 CEDAR CROSS RD, SUITE A, DUBUQUE, IA 52003-7704
(563) 583-8346
Mailing address
505 CEDAR CROSS RD, SUITE A, DUBUQUE, IA 52003-7704
(563) 583-8346

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26573
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2069948
IA
05
32029700
WI
Enumeration date
01/18/2006
Last updated
09/21/2010
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