Individual provider · NPI-1

Dr. John Grootendorst, DC

Chiropractor · Madera, CA

NPI number1780765073
StatusActive
Last updated in NPPESApr 16, 2020

Details

NPI
1780765073
Entity type
Individual (NPI-1)
Name
Dr. John Grootendorst
Credential
DC
Sex
Male
Sole proprietor
No
Enumeration date
Oct 17, 2006
Certification date
Apr 16, 2020
Last updated
Apr 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor26630CAYes

Practice location

900 W Yosemite Ave
Madera, CA 93637-4555

Phone 559-674-8892 · Fax 559-674-1389

Mailing address

900 W Yosemite Ave
Madera, CA 93637-4555

Phone 559-674-8892 · Fax 559-674-1389

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Chiropractor providers in Madera, CA