Individual
JOHNATHAN UNDERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3221 16TH AVE SW, CEDAR RAPIDS, IA 52404-1453
(319) 396-2300
Mailing address
209 N 13TH ST, MARSHALLTOWN, IA 50158-5411
(515) 408-8805
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
091673
IA
Other
Enumeration date
11/27/2018
Last updated
10/07/2021
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