Individual
MR. TIMOTHY DEAN BLANKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1200 1ST AVE E, STE C, SPENCER, IA 51301-4342
(712) 262-7511
(712) 262-3658
Mailing address
1200 1ST AVE E, STE C, SPENCER, IA 51301-4342
(712) 262-7511
(712) 262-3658
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00757
IA
213ES0103X
Foot & Ankle Surgery Podiatrist
646
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269555
—
IA
05
—
426843100
—
MN
Enumeration date
04/11/2006
Last updated
07/15/2014
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