Individual
DR. JONATHAN C GROSSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 LINCOLN CIR SE, SUITE 100, ORANGE CITY, IA 51041-1862
(712) 737-2000
(712) 737-2115
Mailing address
1000 LINCOLN CIR SE, SUITE 100, ORANGE CITY, IA 51041-1862
(712) 737-2000
(712) 737-2115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30022
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117551
MEDICA
IA
05
—
0634626
—
IA
01
—
20248
SIOUX VALLEY HEALTH PLAN
IA
01
—
426038405
CIGNA
IA
01
—
42603840551041
WPS TRICARE
IA
01
—
46874
BC/BS ER LOCATION
IA
01
—
4969
MIDLANDS CHOICE
IA
05
—
5099184
—
IA
01
—
54146
FIRST ADMINISTRATORS
IA
05
—
6099184
—
IA
01
—
703361023654
PREFERRED ONE
IA
01
—
F64958
COVENTRY HEALTH CARE
IA
Enumeration date
12/28/2005
Last updated
02/09/2023
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