Individual
DR. NICOLE MARIE JEDLICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1500 DELHI ST, SUITE 2200, DUBUQUE, IA 52001-6358
(563) 557-5930
Mailing address
1500 DELHI ST, SUITE 2200, DUBUQUE, IA 52001-6358
(563) 557-5930
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000835
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295047512
—
IA
Enumeration date
07/02/2010
Last updated
03/25/2014
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