Organization
DUBUQUE PODIATRY, PC
Active
Parent organization
DUBUQUE PODIATRY, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUBUQUE PODIATRY, PC
Authorized official
DR. MICHAEL WILLIAM WARD D.P.M. (CEO)
(563) 557-5930
Entity
Organization
Contact information
Practice address
420 1ST AVE E, DYERSVILLE, IA 52040-1326
(563) 557-5930
(563) 557-5936
Mailing address
1500 DELHI ST, SUITE 2200, DUBUQUE, IA 52001-6358
(563) 557-5930
(563) 557-5936
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1133959
GROUP T-19 NUMBER
IA
05
—
1133959
—
IA
01
—
44134
GROUP BLUE SHIELD NUMBER
IA
Enumeration date
08/30/2006
Last updated
09/30/2010
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