Individual
TIMOTHY H IEHL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
W9330 STATE ROAD 29, RIVER FALLS, WI 54022-4319
(715) 425-9091
(715) 425-7770
Mailing address
W9330 STATE ROAD 29, RIVER FALLS, WI 54022-4319
(715) 425-9091
(715) 425-7770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3048-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32018700
—
WI
01
—
391791107614
BC/BS WI GROUP ID #
WI
01
—
3C834IE
BC/BS MN OFFICE ID #
MN
01
—
3C835IE
BC/BS MN DOCTOR ID #
MN
01
—
490985
ACN/CHIROCARE ID #
—
Enumeration date
09/27/2005
Last updated
07/09/2007
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