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1720080237
DOUGLAS JAE MIEDEMA
SIBLEY, IA
NPI
1720080237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 2364)
Enumeration Date
2005-08-15
Last Update Date
2013-07-01
Business Address
Dr. DOUGLAS JAE MIEDEMA D.O.
600 9TH AVE N
SIBLEY, IA 51249-1012
Phone number: 712-754-3658
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Mailing Address
Dr. DOUGLAS JAE MIEDEMA D.O.
600 9TH AVE N P.O. BOX 277
SIBLEY, IA 51249-1012
Phone number: 712-754-3658
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