Individual
DR. MITCHELL LONNIE BOERM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
412 G AVE, GRUNDY CENTER, IA 50638-1747
(319) 824-3650
Mailing address
412 G AVE, GRUNDY CENTER, IA 50638-1747
(319) 824-3650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
105637
IA
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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