Jacob Austin Groen, PA-C

NPI #1205579984 in Cedar Rapids, Iowa

Provider Information

NPI Number: 1205579984
Entity Type: Individual
Name: Jacob Austin Groen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 19, 2022
Last Updated: Oct 5, 2023

Practice Location

Address: 1948 1ST AVE NE
City: Cedar Rapids
State: Iowa
ZIP Code: 52402-5377
Phone: (319) 364-0121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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