Individual
DR. GREGORY J SHIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
630 1ST ST NW, MASON CITY, IA 50401-2947
(641) 423-4455
(641) 423-0354
Mailing address
630 1ST ST NW, MASON CITY, IA 50401-2947
(641) 423-4455
(641) 423-0354
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05882
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121657
—
IA
01
—
59606
BCBS
IA
Enumeration date
09/27/2005
Last updated
11/19/2014
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