Individual
JASON THOMAS KASENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1753 W RIDGEWAY AVE STE 107, WATERLOO, IA 50701
(319) 833-5907
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(970) 215-7352
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO-05198
IA
Other
Enumeration date
03/10/2013
Last updated
02/04/2022
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