Organization
FAMILY CARE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J HEINE MD (OWNER/ADMINISTRATOR)
(563) 382-1200
Entity
Organization
Contact information
Practice address
903 COMMERCE DR, DECORAH, IA 52101-2357
(563) 382-1200
(563) 382-1211
Mailing address
903 COMMERCE DR, DECORAH, IA 52101-2357
(563) 382-1200
(563) 382-1211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2008
Last updated
12/01/2008
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