Provider Demographics
NPI:1568577179
Name:DUEKER, THOMAS GILBERT (DC DACBN)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:GILBERT
Last Name:DUEKER
Suffix:
Gender:M
Credentials:DC DACBN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 S POWELL ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:IA
Mailing Address - Zip Code:50622-9512
Mailing Address - Country:US
Mailing Address - Phone:319-215-8626
Mailing Address - Fax:
Practice Address - Street 1:211 W 6TH ST
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-2859
Practice Address - Country:US
Practice Address - Phone:319-215-8626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN254111N00000X
SC2978111N00000X
IA3287111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor