Individual
DR. DUANE ALAN WIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, DIBCN
Contact information
Practice address
209 S EVANS RD, EVANSDALE, IA 50707-1121
(319) 234-4872
(319) 236-0670
Mailing address
209 S EVANS RD, EVANSDALE, IA 50707-1121
(319) 234-4872
(319) 236-0670
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
A5374
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0287862
—
IA
Enumeration date
07/05/2006
Last updated
07/08/2007
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