GARRETT JAMES FEDDERSEN

STORM LAKE, IA
NPI1659711349
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  DO-04574)
Enumeration Date2013-06-27
Last Update Date2018-08-06
Business Address
GARRETT JAMES FEDDERSEN D.O.
1525 W 5TH ST
STORM LAKE, IA 50588
Phone number: 712-213-8676
Mailing Address
GARRETT JAMES FEDDERSEN D.O.
1525 WEST 5TH ST PO BOX 309
STORM LAKE, IA 50588
Phone number: 712-213-8676