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NPI Code Detail

MEDICARE: ANN K SOENEN D.O.

MEDICARE: ANN K SOENEN D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician3728IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730199431
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN K SOENEN D.O.
Provider Business Mailing Address
First Line : 3933 MOUNT VERNON RD SE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52403-3869
Country : US
Telephone Number : 319-390-3974
Fax Number : 319-396-6106
Provider Business Practice Location Address
First Line : 3933 MOUNT VERNON RD SE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52403-3869
Country : US
Telephone Number : 319-390-3974
Fax Number : 319-396-6106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 01/15/2026

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