Individual
JORDAN GROSDIDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 7TH ST SW, ORANGE CITY, IA 51041-1923
(712) 707-7000
Mailing address
PO BOX 9, ALTON, IA 51003-0009
(605) 933-0397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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