Organization
JOHN DEERE MEDICAL GROUP OF WATERLOO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY L HOEKSTRA D.O. (MEDICAL DIRECTOR)
(319) 274-1016
Entity
Organization
Contact information
Practice address
1015 S HACKETT RD, WATERLOO, IA 50701-3500
(319) 274-1000
(319) 292-6526
Mailing address
1015 S HACKETT RD, WATERLOO, IA 50701-3500
(319) 274-1000
(319) 292-6526
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01585
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1097592
—
IA
Enumeration date
08/15/2006
Last updated
08/22/2020
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