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Organization
STORM LAKE MEDICAL, P.C.
Active
Organization
STORM LAKE MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY W REDENBAUGH D.C. (OWNER)
(712) 732-3349
Entity
Organization
Contact information
Practice address
801 HUDSON ST, STORM LAKE, IA 50588-2213
(712) 213-3349
(712) 732-5493
Mailing address
801 HUDSON ST, STORM LAKE, IA 50588-2213
(712) 213-3349
(712) 732-5493
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
04/30/2022
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