| Genesis Medical Education Foundation Inc | |
|
1345 W Central Park Ave Davenport IA 52804-1844 | |
| (563) 421-4400 | |
| (563) 421-4449 |
| Full Name | Genesis Medical Education Foundation Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1345 W Central Park Ave, Davenport, Iowa |
| Authorized Official Name and Position | Marcia Erickson (MANAGER OF OPERATIONS) |
| Authorized Official Contact | 5634214405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Medical Education Foundation Inc 1345 W Central Park Ave Davenport IA 52804-1844 Ph: (563) 421-4400 | Genesis Medical Education Foundation Inc 1345 W Central Park Ave Davenport IA 52804-1844 Ph: (563) 421-4400 |
| NPI Number | 1659322931 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659322931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Iowa) | Primary |
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