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General NPI Number Information
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NPI Number | 1649257635
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Entity Type | Individual
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Provider Name | TIMOTHY C FINK D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 1316 S MAIN ST
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City | CLARION
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State | IA
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Zip | 50525-2019
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Country | US
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Telephone | 515-532-2811
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Fax | 319-233-0722
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Provider Business Mailing Address
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Address Line | PO BOX 2660
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City | WATERLOO
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State | IA
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Zip | 50704-2660
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Country | US
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Telephone | 319-233-3044
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Fax | 319-233-0722
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 02783
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License Number State | IA
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