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Organization
WONDRA FAMILY CHIROPRACTIC
Active
Organization
WONDRA FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURI L WONDRA DC (OWNER)
(319) 372-7898
Entity
Organization
Contact information
Practice address
724 AVE G, FORT MADISON, IA 52627-2927
(319) 372-7898
(319) 372-5232
Mailing address
724 AVE G, FORT MADISON, IA 52627-2927
(319) 372-7898
(319) 372-5232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06523
IA
111N00000X
Chiropractor
06602
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19789
BLUE CROSS BS WELLMARK
—
01
—
525812
IOWA HEALTH SOLUTIONS
—
Enumeration date
01/26/2006
Last updated
12/10/2008
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