Provider Demographics
NPI:1750739868
Name:STROUSE, JENNIFER LEAH MIKSANEK (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEAH MIKSANEK
Last Name:STROUSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LEAH
Other - Last Name:MIKSANEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPT OF INTERNAL MEDICINE
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2043
Mailing Address - Fax:319-384-8955
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT OF INTERNAL MEDICINE
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2043
Practice Address - Fax:319-384-8955
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-10533207R00000X
IAMD-45989207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine