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Organization
SPENCER MUNICIPAL HOSPITAL
Active
Organization
SPENCER MUNICIPAL HOSPITAL
Active
Other names
Avera Medical Group Spencer, a Department of Spencer Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA TIEFENTHALER (CEO)
(712) 264-6111
Entity
Organization
Contact information
Practice address
101 E 10TH ST, SUITE 101, SPENCER, IA 51301-4307
(712) 264-3500
Mailing address
101 E 10TH ST, SUITE 101, SPENCER, IA 51301-4307
(712) 264-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/15/2015
Last updated
07/05/2024
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