Organization
HUDSON FAMILY CHIROPRACTIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN LEROY GROOTHUIS D.C. (PRESIDENT)
(319) 988-3336
Entity
Organization
Contact information
Practice address
107 ELDORA RD, HUDSON, IA 50643-0366
(319) 988-3336
(319) 988-3196
Mailing address
P.O. BOX 366, 107 ELDORA RD., HUDSON, IA 50643-0366
(319) 988-3336
(319) 988-3196
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03028
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016899
—
IA
Enumeration date
01/26/2009
Last updated
01/26/2009
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