Provider Demographics
NPI:1730522947
Name:RANNIGER, ELIZABETH JORDAN (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JORDAN
Last Name:RANNIGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:JORDAN
Other - Last Name:BRANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 MEDICAL PARKWAY
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:IA
Mailing Address - Zip Code:51442
Mailing Address - Country:US
Mailing Address - Phone:712-265-2500
Mailing Address - Fax:712-265-2511
Practice Address - Street 1:100 MEDICAL PARKWAY
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:IA
Practice Address - Zip Code:51442
Practice Address - Country:US
Practice Address - Phone:712-265-2500
Practice Address - Fax:712-265-2511
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-43230208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics