Organization
SPENCER MUNICIPAL HOSPITAL
Active
Other names
NWIA Bone, Joint & Sports Surgeons, a department of Spencer Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA TIEFENTHALER (CEO)
(712) 264-6111
Entity
Organization
Contact information
Practice address
1200 1ST AVE E STE C, SPENCER, IA 51301-4342
(712) 262-7511
(712) 262-3658
Mailing address
1200 1ST AVE E STE C, SPENCER, IA 51301-4342
(712) 262-7511
(712) 262-3658
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
11/14/2019
Last updated
10/11/2023
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