Provider Demographics
NPI:1225158819
Name:ESPELUND, JOSHUA JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JOHN
Last Name:ESPELUND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1194
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-1194
Mailing Address - Country:US
Mailing Address - Phone:712-262-8120
Mailing Address - Fax:712-262-7028
Practice Address - Street 1:920 GRAND AVE
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-3641
Practice Address - Country:US
Practice Address - Phone:712-262-8120
Practice Address - Fax:712-262-7028
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA39460207Y00000X
MN54808207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology