Individual
JAMES C TESDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1620 SUPERIOR ST STE 3, WEBSTER CITY, IA 50595-2913
(515) 832-2401
Mailing address
309 E CHURCH ST, MARSHALLTOWN, IA 50158-2946
(641) 754-6200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02020
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410043813
RAILROAD MEDICARE
IA
Enumeration date
08/17/2005
Last updated
02/25/2020
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