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Individual

DR. JESSE ROY STUMBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1300 SUNSET DRIVE, NORWALK, IA 50211
(515) 981-9208
Mailing address
1300 SUNSET DRIVE, NORWALK, IA 50211-2401
(515) 981-9208
(515) 981-1155

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06776
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14854
WELLMARK BCBS
IA
05
2453928
IA
Enumeration date
06/29/2006
Last updated
09/29/2022
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