David J. Grote in Sioux City - Medical

David J. Grote - NPI 1164465019

David J. Grote is a Medical in Sioux City, Iowa. David J. Grote practices all healthcare services and medical treatments related to Medical. The NPI Number for David J. Grote is 1164465019. The last update date is 2016-08-16.

David J. Grote's current location address is 2930 Hamilton Blvd, Sioux City, Iowa. You can contact this provider via phone number 7122779370 and fax number 7122524733. The mailing address for David J. Grote is 2930 Hamilton Blvd, Sioux City, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name David J. Grote
Address 2930 Hamilton Blvd, Sioux City, Iowa
Phone Number 7122779370
Fax Number 7122524733
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1164465019
Provider Enumeration Date 2006-06-14
Last Updated Date 2016-08-16

Provider Mailing Address Detail

Address 2930 Hamilton Blvd
City Sioux City
State Iowa (IA)
Post Code 511042425
Phone Number 7122779370
Fax Number 7122524733

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 844
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1164465019 IA MEDICARE INDIVIDUAL NPI
IB2763 IA MEDICARE GROUP PTAN
1417088907 IA WELLMARK GROUP NPI NUMBER
DT7736 IA MEDICARE RR GROUP PTAN
IB2763004 IA MEDICARE INDIVIDUAL PTAN

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FAQs about David J. Grote

What is the unique identifier code issued to David J. Grote by the Centers for Medicare & Medicaid Services (CMS)?

The David J. Grote has been assigned the NPI (National Provider Identifier) 1164465019. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where David J. Grote is located?

The David J. Grote is situated at the following address: 2930 Hamilton Blvd, Sioux City, IA, 511042425.

What is David J. Grote's area of expertise and its corresponding taxonomy classification?

The David J. Grote's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the David J. Grote receive its 1164465019 assignment from the Centers for Medicare & Medicaid Services?

The David J. Grote was assigned its 1164465019 by the Centers for Medicare & Medicaid Services on 2006-06-14.

When was the information regarding David J. Grote most recently updated?

The details pertaining to the David J. Grote, including its address, specialty, and other relevant information, were last refreshed on 2016-08-16.

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