Provider Demographics
NPI:1932462256
Name:FUEHRER, JENNIFER ANN (DPM)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANN
Last Name:FUEHRER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:ANN
Other - Last Name:KOELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:1327 SUNSET DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:IA
Mailing Address - Zip Code:50211-1343
Mailing Address - Country:US
Mailing Address - Phone:515-981-1584
Mailing Address - Fax:515-864-0738
Practice Address - Street 1:1327 SUNSET DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:NORWALK
Practice Address - State:IA
Practice Address - Zip Code:50211
Practice Address - Country:US
Practice Address - Phone:319-939-0420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA094478213ES0103X
IL135000762213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty