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Individual

MR. TIMOTHY DUANE FECHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
811 COMMERCE DR, DECORAH, IA 52101-2329
(563) 382-1289
(563) 382-4824
Mailing address
811 COMMERCE DR, DECORAH, IA 52101-2329
(563) 382-1289
(563) 382-4824

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03817
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39646
BLUE CROSS
IA
Enumeration date
10/31/2005
Last updated
03/23/2022
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