| Quad Cities Internal Medicine Pc | |
|
3509 Spring St Suite 3 Davenport IA 52807-2124 | |
| (563) 359-5011 | |
| (359) 355-3438 |
| Full Name | Quad Cities Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3509 Spring St, Davenport, Iowa |
| Authorized Official Name and Position | Debra M Jaegle (OWNER) |
| Authorized Official Contact | 5633595011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quad Cities Internal Medicine Pc 3509 Spring St Suite 3 Davenport IA 52807-2124 Ph: (563) 359-5011 | Quad Cities Internal Medicine Pc 3509 Spring St Suite 3 Davenport IA 52807-2124 Ph: (563) 359-5011 |
| NPI Number | 1053431437 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 01/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053431437 | NPI | - | NPPES |
| 0487322 | Medicaid | IA | |
| 20088 | Other | IA | WELLMARK |
| 1057778 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 27082 (Iowa) | Primary |
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