# SUNNYBROOK PHYSICIANS AND REHAB GROPUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891933784
- **Authorized official:** DR. PAT E LUSE D.C. (PRESIDENT)
- **Authorized official phone:** (712) 274-1019

## Contact information

- **Practice address:** 5740 SUNNYBROOK DRIVE, SIOUX CITY, IA 51106-4249
- **Practice address phone:** (712) 274-1019
- **Practice address fax:** (712) 274-8909
- **Mailing address:** 5740 SUNNYBROOK DR, SIOUX CITY, IA 51106-4249
- **Mailing address phone:** (712) 274-1019
- **Mailing address fax:** (712) 274-8909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2009
- **Last updated:** 01/30/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1164402210 | NPI | IA |
| 01 | — | 1487633285 | NPI | IA |
| 01 | — | 1487634259 | NPI | IA |
| 01 | — | 1952380750 | NPI | IA |