Provider Demographics
NPI:1790040269
Name:DEWALD, HANNAH IRENE (MD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:IRENE
Last Name:DEWALD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2730 PIERCE ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-3796
Mailing Address - Country:US
Mailing Address - Phone:712-277-3141
Mailing Address - Fax:712-277-2645
Practice Address - Street 1:2730 PIERCE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104
Practice Address - Country:US
Practice Address - Phone:712-277-3141
Practice Address - Fax:712-277-2645
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2022-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA43380207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology