Individual provider · Type 1 NPI

Corinne E. Fogle, PA-C

Medical Physician Assistant · Grinnell, IA

NPI number 1063403038 Active

Practice location

303 East St
Grinnell, IA 50112-2557

Fax (641) 527-2922

Mailing address

PO Box 127, 303 East Street
Grinnell, IA 50112-0127

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001334 (IA)

Medical Physician Assistant: Definition to come...

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About NPI 1063403038

Corinne E. Fogle, PA-C's National Provider Identifier is 1063403038, issued on Oct 31, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grinnell, IA. The record was last updated on Jun 4, 2013.