Individual
DR. TIMOTHY WADE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
325 E. HAWKEYE AVE., REMSEN, IA 51050-0086
(712) 786-2989
(712) 786-2220
Mailing address
325 E. HAWKEYE AVE., P.O. BOX 86, REMSEN, IA 51050-0086
(712) 786-2989
(712) 786-2220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A0 5501
IA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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