Charles F Grose
Pediatric Infectious Diseases
200 Hawkins Dr
Iowa City
, Iowa 52242-1009
Charles F Grose
Pediatric Infectious Diseases
200 Hawkins Dr
Iowa City
, Iowa 52242-1009
(319) 356-4855
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Charles F Grose
- 200 Hawkins Dr
- Iowa City, IA
- Zip : 52242-1009
- Fax : (319) 356-4855
- Phone : (319) 356-2270
Second Address
- Charles F Grose
- 200 Hawkins Dr
- Iowa City, IA
- Zip : 52242-1009
- Fax : (319) 356-4855
- Phone : (319) 356-2270
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | 24603 | IA |
National Provider Identifier
| NPI | 1184610206 |
|---|---|
| Provider Name | Charles F Grose |
| First Address | Iowa City, IA 52242-1009 |
| Second Address | Iowa City, IA 52242-1009 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2005 |
| Last Update Date | 26/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0222372 | (05) | IA |
| 22237 | WELLMARK BCBS (01) | IA |
| A02556 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.