Individual
BLANKA DIVISOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-7777
Mailing address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-2629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35347
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271270
—
IA
Enumeration date
03/02/2006
Last updated
07/25/2025
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