Individual
JACK FRANCIS CONSAMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1814 E LOCUST ST, DAVENPORT, IA 52803-2038
(563) 324-0471
(563) 324-2948
Mailing address
1814 E LOCUST ST, DAVENPORT, IA 52803-2038
(563) 324-0471
(563) 324-2948
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
22075
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
22075
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2080846
—
IA
Enumeration date
08/10/2005
Last updated
09/11/2025
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