Individual
MRS. CORINNE E FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 EAST ST, GRINNELL, IA 50112-2557
(641) 527-2929
(641) 527-2922
Mailing address
PO BOX 127, 303 EAST STREET, GRINNELL, IA 50112-0127
(641) 527-2929
(641) 527-2922
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001334
IA
Other
Enumeration date
10/31/2005
Last updated
06/04/2013
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