MEDICARE: CONNIE C GRAUER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	06491	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	45193	OTHER	IA	WELLMARK

General Provider Information

NPI Number	:	1760483341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONNIE C GRAUER DC

Provider Business Mailing Address
First Line	:	11 GLEASON DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-5854
Country	:	US
Telephone Number	:	319-358-1844
Fax Number	:	319-358-1844

Provider Business Practice Location Address
First Line	:	1214 1/2 S GILBERT ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-4506
Country	:	US
Telephone Number	:	319-358-1844
Fax Number	:	319-358-1844

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

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Directions to “ CONNIE C GRAUER DC” Practice Location

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