Individual
AMY MARIE GROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-6611
(515) 241-6635
Mailing address
1200 PLEASANT ST, BLANK PEDIATRIC EMERGENCY, DES MOINES, IA 50309-1406
(515) 241-6611
(515) 241-6635
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
DO-03753
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264995-00
—
NE
05
—
1821078940
—
IA
05
—
1821078940
—
MN
Enumeration date
01/17/2006
Last updated
09/30/2016
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