Individual
SHANNON SPROULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 S 25TH ST, FORT DODGE, IA 50501-5566
(515) 576-2235
Mailing address
530 S 25TH ST, FORT DODGE, IA 50501-5566
(515) 576-2235
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
IA
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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