Organization
OS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYLOR HAAZEN GERARDUS VANDEN WYNBOOM D.C. (PRESIDENT/CHIROPRACTOR)
(515) 233-1866
Entity
Organization
Contact information
Practice address
214 5TH ST, AMES, IA 50010-6202
(641) 512-1582
(515) 233-9513
Mailing address
214 5TH ST, AMES, IA 50010-6202
(641) 512-1582
(515) 233-9513
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007397
IA
Other
Enumeration date
06/21/2011
Last updated
03/19/2012
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