Individual
HANNAH VANDER WAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-6262
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-6262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
074634
IA
Other
Enumeration date
07/24/2014
Last updated
07/22/2016
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