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911 S Mill St Decorah IA 52101-2023 | |
(563) 382-1200 | |
(563) 382-1211 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 911 S Mill St, Decorah, Iowa |
Authorized Official Name and Position | David Heine (PRESIDENT) |
Authorized Official Contact | 5633821200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 96 911 S. Mill Street Decorah IA 52101-0096 Ph: (563) 382-1200 | 911 S Mill St Decorah IA 52101-2023 Ph: (563) 382-1200 |
NPI Number | 1932529922 |
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Provider Enumeration Date | 04/17/2014 |
Last Update Date | 04/17/2014 |
Identifier | Type | State | Issuer |
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1932529922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (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 | |
Family Care Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 Commerce Dr, Decorah, IA 52101 Phone: 563-382-1200 Fax: 563-382-1211 | |