MACKENZIE JANE GROTELUSCHEN

CEDAR RAPIDS, IA
NPI1619227717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IA  114127)
Enumeration Date2012-09-16
Last Update Date2012-09-16
Business Address
-- MACKENZIE JANE GROTELUSCHEN ARNP
701 10TH ST SE
CEDAR RAPIDS, IA 52403-1251
Phone number: 319-398-6037
Mailing Address
-- MACKENZIE JANE GROTELUSCHEN ARNP
1917 C AVE NE
CEDAR RAPIDS, IA 52402-5306
Phone number: 515-451-1493