Dr. Mitchell Lonnie Boerm, DC
Chiropractor in Grundy Center, IA. Individual provider (NPI-1).
NPI number1164023735
StatusActive
Last updated in NPPESNov 2, 2020
Details
- NPI
- 1164023735
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mitchell Lonnie Boerm
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2020
- Certification date
- Nov 2, 2020
- Last updated
- Nov 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 105637 | IA | Yes |
Practice location
412 G AveGrundy Center, IA 50638-1747
Phone 319-824-3650
Mailing address
412 G AveGrundy Center, IA 50638-1747
Phone 319-824-3650
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