Organization
MIDAMERICA BASEMENT SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD JOHN TATGE (OWNER)
(563) 381-1700
Entity
Organization
Contact information
Practice address
13705 110TH AVE, DAVENPORT, IA 52804-9034
(563) 381-1700
(563) 381-1900
Mailing address
13705 110TH AVE, DAVENPORT, IA 52804-9034
(563) 381-1700
(563) 381-1900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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