Glen Leroy Groothuis D.C.

NPI 1083694210 - Chiropractor - 111N00000X

NPI Details
NPI 1083694210
Gender Male
Enumeration Date 01/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
107 ELDORA RD.
HUDSON IA, 50643-0366, US
Phone (319) 988-3336
Fax (319) 988-3196
Business Location
107 ELDORA RD.
HUDSON IA, 50643-0366, US
Phone (319) 988-3336
Fax (319) 988-3196
Toxanomy
Taxonomy Code 111N00000X
License State Iowa
License Number 03028
Remove 1083694210 NPI Number
 

According to our database, Dr. Glen Leroy Groothuis D.C. NPI is 1083694210, taxonomy code is 111N00000X and license number is 03028, license state is located at Iowa. Glen Leroy Groothuis D.C. physically located at 107 Eldora Rd., Hudson IA, 50643-0366. NPI Number Glen Leroy Groothuis D.C. has the Individual type.

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1083694210 NPI number is provided on an as is basis without warranty of any kind. 1083694210 is maintained by the National Plan & Provider Enumeration System. The contents of Glen Leroy Groothuis D.C. are for informational purposes only.