Individual
JACOB ALEXANDER GROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7222
Mailing address
15811 3RD AVE NE, SHORELINE, WA 98155-5718
(206) 947-6169
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R-11870
IA
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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