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Individual

TIMOTHY L HAINDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 255-2324
Mailing address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
(618) 641-5810

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036079924
IL
207L00000X
Anesthesiology Physician
33266
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0145581
IA
05
0206573
IA
Enumeration date
05/03/2006
Last updated
05/28/2021
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