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Organization
SUNNYBROOK PHYSICIANS AND REHAB GROPUP PC
Active
Organization
SUNNYBROOK PHYSICIANS AND REHAB GROPUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAT E LUSE D.C. (PRESIDENT)
(712) 274-1019
Entity
Organization
Contact information
Practice address
5740 SUNNYBROOK DRIVE, SIOUX CITY, IA 51106-4249
(712) 274-1019
(712) 274-8909
Mailing address
5740 SUNNYBROOK DR, SIOUX CITY, IA 51106-4249
(712) 274-1019
(712) 274-8909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164402210
NPI
IA
01
—
1487633285
NPI
IA
01
—
1487634259
NPI
IA
01
—
1952380750
NPI
IA
Enumeration date
01/30/2009
Last updated
01/30/2009
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