Individual
MR. TIMOTHY DALE STULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2292
(319) 338-0581
Mailing address
1824 UNDERWOOD AVENUE, AINSWORTH, IA 52201
(319) 530-6309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18260
IA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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