Individual
DR. TIMOTHY L DUNAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
620 N CUSTER AVE, GRAND ISLAND, NE 68803-4375
(308) 381-1312
(308) 381-6365
Mailing address
620 N CUSTER AVE, GRAND ISLAND, NE 68803-4375
(308) 381-1312
(308) 381-6365
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
638
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009513
BLUE CROSS BLUE SHIELD
NE
05
—
470638861-00
—
NE
Enumeration date
01/12/2006
Last updated
05/15/2008
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