Individual
DR. GREGORY JON BURMEISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
318 W BROADWAY ST, EAGLE GROVE, IA 50533-1712
(515) 448-3387
Mailing address
316 S WESTERN AVE, EAGLE GROVE, IA 50533-2027
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO5314
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257709
—
IA
01
—
1194774620
BUSINESS NPI NUMBER
IA
01
—
26467
WELLMARK PROVIDER NUMBER
IA
Enumeration date
04/10/2007
Last updated
07/09/2007
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