IndividualActive
Jeremy Bolluyt, D.O.
NPI 1760452205 · Family Medicine Physician · Spirit Lake, IA
Provider details
- NPI number
- 1760452205
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 3326 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2700 23rd St
Suite C
Spirit Lake, IA 51360-1158
Phone: (712) 336-3750
Fax: (712) 336-3730
Approximate (ZIP-level) locationGet directions
Mailing address
2700 23rd St
Spirit Lake, IA 51360-1158
Registry dates
- Enumerated
- 2006-01-26
- Last updated
- 2007-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.