| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SEAN GREGORY WESTENDORF | 1114663150 | 2022-06-19 |
Sean Gregory Westendorf is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114663150. Registration indicates Sean Gregory Westendorf is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Sean Gregory Westendorf |
| Practice Office Address | 1801 HICKMAN RD DES MOINES, IA US |
| Practice Office Telephone | 5152822200 |
| Mailing Address | 1306 ROUND HORN ST WAVERLY, IA 506771332 US |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | R-12444
IA |