Individual
DR. SHAUNA M. BASENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1215 DUFF AVENUE, AMES, IA 50010-3014
(515) 239-4432
(515) 239-4754
Mailing address
1215 DUFF AVENUE, AMES, IA 50010-3014
(515) 239-4432
(515) 239-4754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04201
IA
207R00000X
Internal Medicine Physician
106624
MN
207R00000X
Internal Medicine Physician
4201
IA
207R00000X
Internal Medicine Physician
5101017648
MI
207R00000X
Internal Medicine Physician
DO-04201
IA
Other
Enumeration date
07/10/2008
Last updated
11/10/2020
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