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Charles Anthony Jennissen, MD
Pediatric Emergency Medicine (Pediatrics) Physician in Iowa City, Iowa
NPI 1033194188

Charles Anthony Jennissen is a Pediatric Emergency Medicine (Pediatrics) Physician based in Iowa City, IA and is specialized in Pediatric Emergency Medicine. Charles Anthony Jennissen practices in Iowa City, IA and has the professional credentials of MD. The NPI Number for Charles Anthony Jennissen is 1033194188 and holds a License No. 26724 (Iowa).

The current practice location address for Charles Anthony Jennissen is 200 Hawkins Dr, Iowa City, IA and can be reached out via phone at 319-356-6360 and via fax at 319-384-9184.

Location: 200 Hawkins Dr, Iowa City, IA, 52242-1009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033194188
Provider Name
Charles Anthony Jennissen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Hawkins Dr, Iowa City, IA, 52242-1009
Phone Number
319-356-6360
Fax Number
319-384-9184
Provider Enumeration Date
12/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34154 01 IA WELLMARK BCBS
1101659 05 IA
institution
Provider Business Practice Location Address Details
Address
200 Hawkins Dr
City
Iowa City
State
Iowa
Zip
52242-1009
Phone Number
319-356-6360
Fax Number
319-384-9184
person
Provider Business Mailing Address Details
Address
200 Hawkins Dr
City
Iowa City
State
Iowa
Zip
52242-1009
Phone Number
319-356-6360
Fax Number
319-384-9184
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Emergency Medicine
Taxonomy
2080P0204X
License No.
26724 (Iowa)
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
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