Organization
DONNA POESCH M.D.S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LYNNE POESCH M.D.S.C. (PHYSICIAN/OWNER)
(309) 277-0772
Entity
Organization
Contact information
Practice address
1302 7TH ST, SUITE 202, MOLINE, IL 61265-2900
(309) 277-0772
(309) 277-0774
Mailing address
1302 7TH ST, SUITE 202, MOLINE, IL 61265-2900
(309) 277-0772
(309) 277-0774
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08132063
BLUE CROSS OF IL.
IL
01
—
99215
WELLMARK BCBS
IA
Enumeration date
07/19/2006
Last updated
08/22/2020
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