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Organization

SPENCER MUNICIPAL HOSPITAL

Active
Other names
Northwest Iowa Surgeons - Spencer
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA TIEFENTHALER (PRESIDENT/CEO)
(712) 264-6111
Entity
Organization

Contact information

Practice address
1823 HIGHWAY BLVD STE 5, SPENCER, IA 51301-2226
(712) 262-6320
(712) 264-3007
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(888) 278-4126

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
05/03/2021
Last updated
10/10/2023
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