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Individual

DR. SUSAN M. LARKIN THIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
3048 VICTORIA ST, BETTENDORF, IA 52722-2793
(563) 323-1551
(563) 359-0926
Mailing address
3048 VICTORIA ST, BETTENDORF, IA 52722-2793
(563) 323-1551
(563) 359-0926

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
05015
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00035
BLUE CROSS BLUE SHIELD
IA
Enumeration date
10/06/2005
Last updated
12/06/2018
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