| Charles J Latendresse | |
|
1506 G Ave Grundy Center IA 50638-1038 | |
| (319) 824-3181 | |
| (319) 824-6680 |
| Full Name | Charles J Latendresse |
|---|---|
| Speciality | Family Medicine |
| Location | 1506 G Ave, Grundy Center, Iowa |
| Authorized Official Name and Position | Charles J Latendresse (OWNER) |
| Authorized Official Contact | 3198243181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J Latendresse Po Box 128 Grundy Center IA 50638-0128 Ph: (319) 824-3181 | Charles J Latendresse 1506 G Ave Grundy Center IA 50638-1038 Ph: (319) 824-3181 |
| NPI Number | 1407030513 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407030513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Grundy Center Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E J Ave, Ste 120, Grundy Center, IA 50638 Phone: 319-824-6945 Fax: 319-824-6947 | |
Unitypoint Clinic - Family Medicine - Grundy Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E J Ave Ste 120, Grundy Center, IA 50638 Phone: 319-824-6945 |