Provider Demographics
NPI:1801281464
Name:SENKLER, JONATHAN GEORGE
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:GEORGE
Last Name:SENKLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12967 INGERSOLL AVE N
Mailing Address - Street 2:
Mailing Address - City:HUGO
Mailing Address - State:MN
Mailing Address - Zip Code:55038-8407
Mailing Address - Country:US
Mailing Address - Phone:651-402-1870
Mailing Address - Fax:
Practice Address - Street 1:2112 SW WOODSIDE CT
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-5423
Practice Address - Country:US
Practice Address - Phone:651-402-1870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADO-05151207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine