Individual
REBEKAH YVONNE BRADTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 12TH AVE SE, SUITE 103, DYERSVILLE, IA 52040-2416
(563) 875-2344
(563) 875-2344
Mailing address
1213 12TH AVE SE, SUITE 103, DYERSVILLE, IA 52040-2416
(563) 875-2344
(563) 875-2344
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0449512
—
IA
Enumeration date
11/07/2006
Last updated
07/08/2007
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