Individual
DR. DAVID ILCESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 KENYON RD STE 220, FORT DODGE, IA 50501-5744
(515) 574-6870
(515) 576-2724
Mailing address
804 KENYON RD STE 220, FORT DODGE, IA 50501-5744
(515) 574-6870
(515) 576-2724
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD-45854
IA
Other
Enumeration date
06/30/2015
Last updated
06/13/2019
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