Individual
DR. CONNIE SUE ERTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1701 22ND ST, SUITE 105, WEST DES MOINES, IA 50266-1443
(515) 224-1001
(515) 224-1004
Mailing address
1701 22ND ST, SUITE 105, WEST DES MOINES, IA 50266-1443
(515) 224-1001
(515) 224-1004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06704
IA
111N00000X
Chiropractor
7637
AZ
163W00000X
Registered Nurse
041-274183
IL
163W00000X
Registered Nurse
109917
IA
Other
Enumeration date
09/24/2006
Last updated
06/17/2008
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