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Individual

MR. TIMOTHY T MADSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
108 2ND AVE W, TOLEDO, IA 52342-2140
(641) 484-6198
(641) 484-4642
Mailing address
307 RICHARD LN, MARSHALLTOWN, IA 50158-4412
(641) 752-1431
(641) 484-4642

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16152
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0225649
IA
Enumeration date
03/05/2007
Last updated
11/07/2007
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