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Individual

DR. PHILIP A HABAK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1236 E RUSHOLME ST, SUITE 300, DAVENPORT, IA 52803-2473
(563) 324-2992
(563) 888-0499
Mailing address
1236 E RUSHOLME ST, SUITE 300, DAVENPORT, IA 52803-2473
(563) 324-2992
(563) 888-0499

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18298
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2310102
IA
05
3300263004
IL
Enumeration date
01/10/2006
Last updated
07/08/2007
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