Individual
JONATHAN GROSKREUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
101 3RD ST NW, ORANGE CITY, IA 51041-1307
(712) 707-6060
(712) 707-6062
Mailing address
101 3RD ST NW, ORANGE CITY, IA 51041-1307
(712) 707-5050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4296
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195K1GR
BLUECROSS BLUESHIELD
MN
05
—
350887100
—
MN
01
—
HP18577
HEALTH PARTNERS
MN
Enumeration date
10/06/2006
Last updated
02/09/2023
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