Individual
THOMAS RAYMOND BOXLEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MERCY DR, SUITE 201, DUBUQUE, IA 52001-7303
(563) 584-3500
(563) 584-3520
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036-092993
WI
2084P0800X
Psychiatry Physician
Primary
22625
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214312
—
IA
Enumeration date
05/11/2006
Last updated
11/25/2009
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