Organization
VASCULAR INSTITUTE OF THE MIDWEST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC DIPPEL M.D (M.D)
(563) 650-5635
Entity
Organization
Contact information
Practice address
3385 DEXTER CT STE 100, DAVENPORT, IA 52807-3471
(563) 650-5635
(563) 326-4280
Mailing address
3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL 34683-1930
(727) 474-0090
(727) 474-0055
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
30121
IA
207RN0300X
Nephrology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
02/20/2017
Last updated
03/01/2021
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