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Individual

DR. TIMOTHY SCOTT HICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
114 CENTRAL AVE NW, ORANGE CITY, IA 51041-1458
(712) 737-4246
(712) 707-9855
Mailing address
114 CENTRAL AVE NW, ORANGE CITY, IA 51041-1433
(712) 737-4246
(712) 707-9855

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01833
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1231662
IA
Enumeration date
02/07/2006
Last updated
12/03/2008
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