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1114990660
TIMOTHY STAUDTE
FORT MADISON, IA
NPI
1114990660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IA 3565)
Enumeration Date
2006-02-07
Last Update Date
2007-08-01
Business Address
-- TIMOTHY STAUDTE D.O.
5409 AVENUE O
FORT MADISON, IA 52627-9601
Phone number: 319-376-2134
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Mailing Address
-- TIMOTHY STAUDTE D.O.
5409 AVENUE O
FORT MADISON, IA 52627-9601
Phone number: 319-376-2134
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