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Individual

DR. DANA SHANTEL GROBE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.C

Contact information

Practice address
308 BAILEY RD, CRYSTAL CITY, MO 63019-1825
(636) 937-5577
(636) 937-5579
Mailing address
308 BAILEY RD, CRYSTAL CITY, MO 63019-1825
(636) 937-5577
(636) 937-5579

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002006991
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1032925
ASHN
MO
01
191563
BLUECROSS BLUESHIELD
MO
01
2214198
UNITED HEALTHCARE
MO
01
482692
HEALTHLINK
MO
01
90-01469769
GREAT WEST
MO
Enumeration date
06/21/2006
Last updated
07/08/2007
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