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Organization
TRI-STATE FAMILY PRACTICE LLP
Active
Organization
TRI-STATE FAMILY PRACTICE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA A TLAMKA (OFFICE MANAGER)
(563) 557-5900
Entity
Organization
Contact information
Practice address
1500 DELHI ST, SUITE 4100, DUBUQUE, IA 52001-6358
(563) 557-5900
(563) 557-5905
Mailing address
1500 DELHI ST, SUITE 4100, DUBUQUE, IA 52001-6358
(563) 557-5900
(563) 557-5905
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146019
—
IA
01
—
55321
GROUP BCBS IDENTIFICATION
IA
Enumeration date
05/04/2006
Last updated
06/27/2011
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