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TIMOTHY D BLANKERS, DPM – NPI #1902869803
Surgery, Foot & Ankle

NPI Profile for TIMOTHY D BLANKERS in SPENCER, IA.

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Contact Information

TIMOTHY D BLANKERS, DPM
1200 1ST AVE E
STE C
SPENCER, IA  51301-4342
 Phone: 712-262-7511
 Fax: 712-262-3658
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TIMOTHY D BLANKERS · (Male)

NPI # 1902869803
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/11/2006
Last updated 07/15/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 00757
  • MN License # 646
  • IA Medicaid 0269555
  • MN Medicaid 426843100
Hospital affiliation(s)
  • AVERA HOLY FAMILY HOSPITAL - (Critical Access)
    826 NORTH 8TH STREET
    ESTHERVILLE, IA 51334
  • LAKES REGIONAL HEALTHCARE - (Acute Care)
    2301 HIGHWAY 71
    SPIRIT LAKE, IA 51360
  • SPENCER MUNICIPAL HOSPITAL - (Acute Care)
    1200 1ST AVENUE EAST
    SPENCER, IA 51301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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