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Individual

DR. DONNA LYNNE POESCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1302 7TH ST, SUITE 202, MOLINE, IL 61265-2900
(309) 277-0772
(309) 277-0774
Mailing address
1302 7TH ST, SUITE 202, MOLINE, IL 61265-2900
(309) 277-0772
(309) 277-0774

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036070857
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08132063
BLUE CROSS OF IL
IL
01
99215
WELLMARK
IA
Enumeration date
11/09/2005
Last updated
12/16/2009
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