Individual
DR. TIMOTHY WILLIAM REDENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
800 ONEIDA ST, SUITE B2, STORM LAKE, IA 50588-3209
(712) 732-3349
Mailing address
712 E 1ST ST, STORM LAKE, IA 50588-2606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06093
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176271
—
IA
Enumeration date
05/02/2006
Last updated
10/29/2007
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