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Individual

MR. STEPHEN RICHARD HENSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1000 BRADY ST, DAVENPORT, IA 52803-5214
(563) 884-5750
Mailing address
1000 BRADY ST, DAVENPORT, IA 52803-5214
(563) 884-5750

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06809
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09357
BCBS
IA
Enumeration date
05/23/2006
Last updated
03/19/2014
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