Individual
MICHAEL CHARLES PERSSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 W KIMBERLY RD, DAVENPORT, IA 52806-3059
(563) 421-0100
Mailing address
3200 W KIMBERLY RD, DAVENPORT, IA 52806-3059
(563) 355-9200
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37502
IA
Other
Enumeration date
02/18/2007
Last updated
05/02/2021
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