Individual
SHANNON C THRONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 S BLAIRSFERRY XING, HIAWATHA, IA 52233-7986
(319) 393-0783
(319) 393-0427
Mailing address
400 S BLAIRSFERRY XING, HIAWATHA, IA 52233-7986
(319) 393-0783
(319) 393-0427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33145
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080163959
RR MEDICARE
IA
05
—
1175588
—
IA
05
—
1982682621
—
IA
Enumeration date
01/04/2006
Last updated
05/22/2012
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