Individual
JOHANNA LAIDIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1000
Mailing address
PO BOX 1245, BETTENDORF, IA 52722-0021
(563) 324-8160
(563) 324-8486
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
05308
IA
Other
Enumeration date
03/30/2015
Last updated
05/13/2021
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