Provider Demographics
NPI:1942002662
Name:SZCZESNY, JONATHAN DAVID II
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:DAVID
Last Name:SZCZESNY
Suffix:II
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:N6199 NEDA RD
Mailing Address - Street 2:
Mailing Address - City:IRON RIDGE
Mailing Address - State:WI
Mailing Address - Zip Code:53035-9522
Mailing Address - Country:US
Mailing Address - Phone:920-344-3940
Mailing Address - Fax:
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program