NPI 1902869803 · live from the CMS NPI Registry
Timothy Dean Blankers, DPM
Podiatrist, Foot & Ankle Surgery in Spencer, IA. National Provider Identifier 1902869803, active.
NPI record
| NPI | 1902869803 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1200 1st Ave E, Ste C, Spencer, IA 51301 |
| Practice phone | 712-262-7511 |
| Enumerated | April 11, 2006 |
| Last updated | July 15, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 00757 (IA) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 646 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.