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Steven
G
Tuschman
DC
Contract Details
Facility name
Provider ID
P000005562
NPI
1891793303
Tax ID
421030585
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
1820 Central Ave
Estherville, IA 51334
United States
County
Emmet
Phone
7128593298
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address