Storm Lake Medical, P.c.
NPI #1457898801 in Storm Lake, Iowa
Provider Information
- NPI Number
- 1457898801
- Entity Type
- Organization
- Organization Name
- Storm Lake Medical, P.c.
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 24, 2017
- Last Updated
- Apr 30, 2022
Practice Location
- Address
- 801 HUDSON ST
- City
- Storm Lake
- State
- Iowa
- ZIP Code
- 50588-2213
- Phone
- (712) 213-3349
Authorized Official
- Name
- MR. TIMOTHY W REDENBAUGH, D.C.
- Title
- OWNER
- Phone
- (712) 732-3349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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