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NPI Code Detail

MEDICARE: JULIANA MARENE GRONSETH

MEDICARE: JULIANA MARENE GRONSETH
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1780351486
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANA MARENE GRONSETH
Provider Business Mailing Address
First Line : 400 S CLINTON ST
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-4105
Country : US
Telephone Number : 319-509-6874
Fax Number :
Provider Business Practice Location Address
First Line : 601 HIGHWAY 6 W
Second Line :
City : IOWA CITY
State : IA
Zip : 52246-2209
Country : US
Telephone Number : 319-338-0581
Fax Number : 319-339-7110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2021
Last Update Date : 03/04/2026

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Directions to “ JULIANA MARENE GRONSETH ” Practice Location

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