Individual
DR. GWANGJONG DANNY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 E MADISON ST, WINTERSET, IA 50273-2412
(515) 462-4644
Mailing address
1817 W 5TH ST, SIOUX CITY, IA 51103-3434
(712) 259-0384
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
089708
IA
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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