Individual
DR. MICAELA SUE DOLEZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3100 CEDAR CREST RDG, SUITE 4, DUBUQUE, IA 52003-6700
(563) 557-3040
(563) 557-3048
Mailing address
3100 CEDAR CREST RDG, SUITE 4, DUBUQUE, IA 52003-6700
(563) 557-3040
(563) 557-3048
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-010052
IL
111N00000X
Chiropractor
Primary
06658
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1468967
—
IA
Enumeration date
07/20/2006
Last updated
10/03/2008
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