Individual
PATRICIA M GROTJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNT
Contact information
Practice address
1525 W 5TH ST, STORM LAKE, IA 50588-3027
(712) 732-4030
Mailing address
2030 FOX AVE, SCHALLER, IA 51053-7409
(712) 275-9950
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01291
IA
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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