Individual
JACOB AUSTIN GROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1948 1ST AVE NE, CEDAR RAPIDS, IA 52402-5377
(319) 364-0121
Mailing address
1948 1ST AVE NE, CEDAR RAPIDS, IA 52402-5377
(319) 364-0121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
121696
IA
Other
Enumeration date
04/19/2022
Last updated
10/05/2023
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