Organization
EDGERTON WOMENS HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS P FEDJE (PRESIDENT)
(563) 359-6633
Entity
Organization
Contact information
Practice address
1510 E RUSHOLME ST, DAVENPORT, IA 52803-2463
(563) 359-6633
(563) 324-4183
Mailing address
1510 E RUSHOLME ST, DAVENPORT, IA 52803-2463
(563) 359-6633
(563) 324-4183
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051425
—
IA
Enumeration date
10/27/2006
Last updated
08/22/2020
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