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Organization

MEDICAL ASSOCIATES OF MAQUOKETA, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER M ORR (OFFICE ADMINISTRATOR)
(563) 652-5145
Entity
Organization

Contact information

Practice address
918 W PLATT ST # 1, MAQUOKETA, IA 52060-2038
(563) 652-5145
(563) 652-3674
Mailing address
918 W PLATT ST # 1, MAQUOKETA, IA 52060-2038
(563) 652-5145
(563) 652-3674

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0126896
IA
05
1126896
IA
01
CP8149
RAILROAD MEDICARE
IA
Enumeration date
01/20/2006
Last updated
04/09/2008
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