Individual
STEPHANIE GRUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7407 THUNDER VALLEY DR, PEOSTA, IA 52068-9475
(563) 284-2422
(563) 200-7747
Mailing address
7407 THUNDER VALLEY DR, PEOSTA, IA 52068-9475
(563) 284-2422
(563) 200-7747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A122623
IA
Other
Enumeration date
07/18/2014
Last updated
09/04/2024
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