Organization
GRINNELL FAMILY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNDA RISTING (OFFICE MANAGER)
(641) 236-7524
Entity
Organization
Contact information
Practice address
217 4TH AVE W, GRINNELL, IA 50112-1895
(641) 236-7524
(641) 236-7944
Mailing address
217 4TH AVE W, GRINNELL, IA 50112-1895
(641) 236-7524
(641) 236-7944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120006
—
IA
Enumeration date
08/19/2006
Last updated
10/11/2007
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