Basic Information
Provider Information
NPI: 1043690704
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TERVEEN
FirstName: MARGARET
MiddleName: JAYNE
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SCHUNEMAN
OtherFirstName: MARGARET
OtherMiddleName: JAYNE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 200 HAWKINS DR
Address2: DEPT OF OBSTETRICS AND GYNECOLOGY
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193562294
FaxNumber:  
Practice Location
Address1: 200 HAWKINS DR
Address2: DEPT OF OBSTETRICS AND GYNECOLOGY
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193562294
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/08/2015
LastUpdateDate: 06/08/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XR-10329IAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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