Individual
GARY LEE JENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7003 HIGH POINT LN, CEDAR RAPIDS, IA 52411-8112
(319) 550-2154
Mailing address
7003 HIGH POINT LN, CEDAR RAPIDS, IA 52411-8112
(319) 550-2154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26729
IA
Other
Enumeration date
10/20/2005
Last updated
06/27/2022
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