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Individual

DR. TIMOTHY GERARD VOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 472-4141
(641) 469-3516
Mailing address
2000 S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 472-4141
(641) 469-3516

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3764
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417675
IA
01
28104
BLUECROSSBLUE SHIELD
IA
Enumeration date
10/19/2006
Last updated
07/29/2013
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