Glen L Groothuis (NPI# 1083694210, PAC ID# 7911960133) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1083694210 |
| PAC ID by PECOS | 7911960133 |
| Professional Enrollment ID | I20041109000658 |
| Full Name | Glen L Groothuis |
| Address |
107 Eldora Rd Hudson IA 50643-7747 |
| Phone Number | 3199883336 |
| Gender | M |
| Credential | DC |
| Medical School | NATIONAL COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1965 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 107 Eldora Rd, Hudson, IA 50643-7747 | 3199883336 |
| Street Address |
107 ELDORA RD |
| City | HUDSON |
| State | IA |
| Zip | 50643-7747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marci Joleen Fish | Chiropractic | 505 Washington St, Hudson, IA 50643-2202 | |
| Gregory A Selenke | Family Medicine | Total Health of Iowa Inc | 101 Eddystone Dr, Hudson, IA 50643-2243 |
| James A Selenke | Family Medicine | Total Health of Iowa Inc | 101 Eddystone Dr, Hudson, IA 50643-2243 |
| City | HUDSON |
| Zip Code | 50643 |
| Specialty | CHIROPRACTIC |
| City + Specialty | HUDSON + CHIROPRACTIC |
Please comment or provide details below to improve the information on Glen L Groothuis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.