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Organization
DANVILLE CHIROPRACTIC PC
Active
Organization
DANVILLE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A GROTHE D.C. (CHIROPRACTOR)
(319) 392-8567
Entity
Organization
Contact information
Practice address
204 N. MAIN, BOX 236, DANVILLE, IA 52623-0236
(319) 392-8567
(319) 392-4553
Mailing address
204 N. MAIN, BOX 236, DANVILLE, IA 52623-0236
(319) 392-8567
(319) 392-4553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
022 A06046
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40653
WELLMARK BLUE CROSS
IA
Enumeration date
12/23/2009
Last updated
12/23/2009
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