IndividualActive
Charles Jennisch, MD
NPI 1225133606 · Psychiatry Physician · Urbandale, IA
Provider details
- NPI number
- 1225133606
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 32533 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6921 Hickman Rd Ste 2327
Urbandale, IA 50322-4805
Phone: (515) 270-2242
Approximate (ZIP-level) locationGet directions
Mailing address
6921 Hickman Rd Ste 2327
Urbandale, IA 50322-4805
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2014-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.