Individual
MR. MITCHELL R BUDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1575 W 53RD ST, DAVENPORT, IA 52806-2448
(563) 386-9196
Mailing address
107 MAIN ST, DELMAR, IA 52037-9701
(563) 349-3593
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
096720
IA
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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