Organization
DUBUQUE PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W WARD DPM (EXECUTIVE OFFICER)
(563) 557-5930
Entity
Organization
Contact information
Practice address
1500 DELHI ST, SUITE 2200, DUBUQUE, IA 52001-6358
(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
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133959
—
IA
01
—
04332003
BLUE SHIELD GRP NUMBER
IL
01
—
44134
GROUP BLS NUMBER
IA
01
—
CD8232
RAILROAD MEDICARE GRP NUM
IA
Enumeration date
02/10/2006
Last updated
11/11/2009
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