Individual
DR. TAYLOR HAAZEN GERARDUS VANDEN WYNBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
214 5TH ST, AMES, IA 50010-6202
(641) 512-1582
Mailing address
214 5TH ST, AMES, IA 50010-6202
(641) 512-1582
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007397
IA
Other
Enumeration date
06/01/2011
Last updated
03/19/2012
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