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Individual

DR. JOHN DOUGLAS CALISESI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
24 S 14TH ST, FORT DODGE, IA 50501-4964
(515) 576-2183
(515) 576-2336
Mailing address
1945 15TH AVE N, FORT DODGE, IA 50501-7701
(515) 955-2313

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IA4401
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0098392
IA
05
0489245
IA
Enumeration date
03/08/2006
Last updated
01/19/2011
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