Individual
SHANNON V CROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1722
(515) 271-1697
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1722
(515) 271-1697
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
4480
IA
390200000X
Student in an Organized Health Care Education/Training Program
5101019002
MI
Other
Enumeration date
07/20/2010
Last updated
02/12/2020
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