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Individual

DR. TIMOTHY WILLIAM MESICK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5302 ELMORE AVE, DAVENPORT, IA 52807-3859
(563) 344-0707
(563) 377-6769
Mailing address
PO BOX 1148, BETTENDORF, IA 52722-0020
(563) 344-0707
(563) 344-6769

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06198
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0212290
IA
01
48695
BLUE CROSS / BLUE SHIELD
IA
Enumeration date
08/19/2005
Last updated
07/08/2007
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