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Organization

QUAD CITIES INTERNAL MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBRA M JAEGLE M.D. (OWNER)
(563) 359-5011
Entity
Organization

Contact information

Practice address
3509 SPRING ST, SUITE 3, DAVENPORT, IA 52807-2124
(563) 359-5011
(359) 355-3438
Mailing address
3509 SPRING ST, SUITE 3, DAVENPORT, IA 52807-2124
(563) 359-5011
(359) 355-3438

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27082
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0487322
IA
05
1057778
IA
01
20088
WELLMARK
IA
Enumeration date
03/30/2007
Last updated
01/16/2013
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