Individual
DR. AMANDA DIANE FRIEMEL PANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.,FIAMA,DIPL.AC
Contact information
Practice address
24609 VALLEY DR, PLEASANT VALLEY, IA 52767
(563) 888-1978
Mailing address
24609 VALLEY DR, PLEASANT VALLEY, IA 52767
(563) 888-1978
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-010735
IL
111N00000X
Chiropractor
Primary
06633
IA
111N00000X
Chiropractor
4818
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201796
—
IA
01
—
1477566404
GROUP NPI
IA
01
—
1871777474
INDIVIDUAL NPI
IA
01
—
72004
WELLMARK
IA
01
—
I11500
MEDICARE GROUP
IA
Enumeration date
12/19/2007
Last updated
11/09/2015
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