Samuel Charles Fangman, DC

NPI #1396212551 in Grimes, Iowa

Provider Information

NPI Number: 1396212551
Entity Type: Individual
Name: Samuel Charles Fangman, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Oct 25, 2018
Last Updated: Oct 29, 2018

Practice Location

Address: 200 SE GATEWAY DR STE 103
City: Grimes
State: Iowa
ZIP Code: 50111-2182
Phone: (515) 201-3498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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