NPI 1396212551

Samuel Charles Fangman, DC

Practitioner Chiropractor Grimes, IA

Practice location

Address: 200 SE Gateway Dr STE 103, Grimes, IA 50111-2182
Phone: (515) 201-3498
Mailing address: 501 NW 11th St, Grimes, IA 50111-8869

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 093158 (IA)

Other Chiropractor providers in Iowa →

Registry record

NPI: 1396212551
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2018
Record last updated: 29 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.