Individual
ERIN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3413 CRESCENT RDG, DUBUQUE, IA 52003-5234
(563) 581-1319
Mailing address
3413 CRESCENT RDG, DUBUQUE, IA 52003-5234
(563) 581-1319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03980
IA
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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