Individual
DR. DOUGLAS DEAN BROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
280 ASHWORTH DR, WAUKEE, IA 50263-9763
(515) 987-4541
Mailing address
280 ASHWORTH DR, WAUKEE, IA 50263-9763
(515) 987-4541
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04649
IA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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