JEFFREY WALLENBERG

SIOUX CITY, IA
NPI1457979155
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: IA  G159566)
Enumeration Date2020-07-09
Last Update Date2021-06-14
Business Address
JEFFREY WALLENBERG CNP-PMHNP
800 5TH ST
SIOUX CITY, IA 51101-1317
Phone number: 800-472-9018
Mailing Address
JEFFREY WALLENBERG CNP-PMHNP
3701 W 49TH ST STE 206
SIOUX FALLS, SD 57106-4219
Phone number: 605-271-6582
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