| Dale M. Grunewald Do Pc | |
|
230 S 68th St Suite 1203 West Des Moines IA 50266-8176 | |
| (515) 471-1800 | |
| (515) 471-1801 |
| Full Name | Dale M. Grunewald Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 230 S 68th St, West Des Moines, Iowa |
| Authorized Official Name and Position | Dale M Grunewald (PRESIDENT AND CEO) |
| Authorized Official Contact | 5152373974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale M. Grunewald Do Pc 230 S 68th St Suite 1203 West Des Moines IA 50266-8176 Ph: (515) 471-1800 | Dale M. Grunewald Do Pc 230 S 68th St Suite 1203 West Des Moines IA 50266-8176 Ph: (515) 471-1800 |
| NPI Number | 1104879170 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062512247 |
|---|---|
| Medicare Enrollment ID | O20070720000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104879170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Iowa) | Primary |
| Provider Name | Dale M Grunewald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871595207 PECOS PAC ID: 6901845346 Enrollment ID: I20050426000886 |
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