Megan R Grodahl, P.A.

NPI #1801264825 in Lake City, Iowa

Provider Information

NPI Number: 1801264825
Entity Type: Individual
Name: Megan R Grodahl, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Sep 8, 2015
Last Updated: Sep 8, 2015

Practice Location

Address: 1351 W MAIN ST
City: Lake City
State: Iowa
ZIP Code: 51449-1585
Phone: (712) 464-7907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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