Provider Demographics
NPI:1063677110
Name:DANNENBRING, AMANDA R (DO)
Entity Type:Individual
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First Name:AMANDA
Middle Name:R
Last Name:DANNENBRING
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Gender:F
Credentials:DO
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Mailing Address - Street 1:814 PIERCE ST
Mailing Address - Street 2:STE 102
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1058
Mailing Address - Country:US
Mailing Address - Phone:712-226-2600
Mailing Address - Fax:712-226-2605
Practice Address - Street 1:345 W STEAMBOAT DR
Practice Address - Street 2:STE 300
Practice Address - City:DAKOTA DUNES
Practice Address - State:SD
Practice Address - Zip Code:57049-5287
Practice Address - Country:US
Practice Address - Phone:605-217-2175
Practice Address - Fax:605-217-2185
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2011-08-04
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Provider Licenses
StateLicense IDTaxonomies
IA4021207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine