Family Care Clinic Pc | |
903 Commerce Dr Decorah IA 52101-2357 | |
(563) 382-1200 | |
(563) 382-1211 |
Full Name | Family Care Clinic Pc |
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Speciality | Family Medicine |
Location | 903 Commerce Dr, Decorah, Iowa |
Authorized Official Name and Position | David J Heine (OWNER/ADMINISTRATOR) |
Authorized Official Contact | 5633821200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Care Clinic Pc 903 Commerce Dr Decorah IA 52101-2357 Ph: (563) 382-1200 | Family Care Clinic Pc 903 Commerce Dr Decorah IA 52101-2357 Ph: (563) 382-1200 |
NPI Number | 1487805180 |
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Provider Enumeration Date | 10/01/2008 |
Last Update Date | 12/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487805180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Gundersen Regional Clinics Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1830 State Highway 9 Ste 100, Decorah, IA 52101 Phone: 608-782-7300 | |