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Individual

CLAIRE MARIE GROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
405 MONROE ST, PELLA, IA 50219-1290
(641) 621-2325
(641) 621-2419
Mailing address
405 MONROE ST, PELLA, IA 50219-1290
(641) 621-2325
(641) 621-2419

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86253885
PROVIDER LICENSE
IA
Enumeration date
06/12/2025
Last updated
06/12/2025
About Stedi
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Product
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  • EDI platform