Individual
DR. TIMOTHY MICHAEL STACKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2454 MEINEN CT, DUBUQUE, IA 52002
(563) 582-0300
(563) 582-6990
Mailing address
2454 MEINEN CT, DUBUQUE, IA 52002
(563) 582-0300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06739
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469346
—
IA
Enumeration date
10/06/2006
Last updated
02/03/2011
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