person
David J. Grote, PA
Medical Physician Assistant in Sioux City, Iowa
NPI 1164465019

David J. Grote is a Medical Physician Assistant based in Sioux City, IA and is specialized in Medical. David J. Grote practices in Sioux City, IA and has the professional credentials of PA. The NPI Number for David J. Grote is 1164465019 and holds a License No. 000844 (Iowa).

The current practice location address for David J. Grote is 2930 Hamilton Blvd, Sioux City, IA and can be reached out via phone at 712-277-9370 and via fax at 712-252-4733.

Location: 2930 Hamilton Blvd, Sioux City, IA, 51104-2425
person
Provider Profile Details
NPI Number
1164465019
Provider Name
David J. Grote
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2930 Hamilton Blvd, Sioux City, IA, 51104-2425
Phone Number
712-277-9370
Fax Number
712-252-4733
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164465019 01 IA MEDICARE INDIVIDUAL NPI
IB2763 01 IA MEDICARE GROUP PTAN
1417088907 01 IA WELLMARK GROUP NPI NUMBER
DT7736 01 IA MEDICARE RR GROUP PTAN
IB2763004 01 IA MEDICARE INDIVIDUAL PTAN
institution
Provider Business Practice Location Address Details
Address
2930 Hamilton Blvd
City
State
Zip
51104-2425
Phone Number
712-277-9370
Fax Number
712-252-4733
person
Provider Business Mailing Address Details
Address
2930 Hamilton Blvd
City
State
Zip
51104-2425
Phone Number
712-277-9370
Fax Number
712-252-4733
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000844 (Iowa)
Definition
Definition to come...
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