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Individual

MARGUERITE A MACEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1401 W CENTRAL PARK, DAVENPORT, IA 52806
(563) 421-2141
(563) 421-1775
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1474
(319) 356-3715

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
C046249
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0444141
IA
01
59155
WELLMARK BCBS
IA
Enumeration date
09/16/2005
Last updated
12/12/2007
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