Individual
JOSHUA JAY TEGELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 1ST AVE W, DYERSVILLE, IA 52040-1104
(563) 599-2630
Mailing address
137 1ST AVE W, DYERSVILLE, IA 52040-1104
(563) 599-2630
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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