Individual
GLENN KENNETH SORGENFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1212 8TH ST, DURANT, IA 52747-9723
(563) 785-6817
Mailing address
1212 8TH ST, DURANT, IA 52747-9723
(563) 785-6817
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05187
IA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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