MR. Alec Marshall Antanaitis

NPI #1104715770 in Jefferson, Iowa

Provider Information

NPI Number
1104715770
Entity Type
Individual
Name
MR. Alec Marshall Antanaitis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Gerontology
Enumeration Date
Jun 30, 2025
Last Updated
Jun 30, 2025

Practice Location

Address
1000 W LINCOLN WAY
State
Iowa
ZIP Code
50129-1685
Phone
(515) 386-2114

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - GerontologyGerontology

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