Individual
MRS. LEANN ELIZABETH KRUMWIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2714 CENTER LAKE DR, SPIRIT LAKE, IA 51360-7268
(712) 336-3500
(712) 336-3505
Mailing address
2714 CENTER LAKE DR, SPIRIT LAKE, IA 51360-7268
(712) 336-3500
(712) 336-3505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000095
IA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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