Individual
DR. DAVID GROOTENDORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
900 W YOSEMITE AVE, MADERA, CA 93637-4555
(559) 674-8892
Mailing address
900 W YOSEMITE AVE, MADERA, CA 93637-4555
(559) 674-8892
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15082
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GDC000470
—
CA
Enumeration date
10/16/2006
Last updated
06/04/2020
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