Individual
DR. DEANN M FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3225 WILLIAMS PKWY SW, SUITE 1, CEDAR RAPIDS, IA 52404-1476
(319) 366-3500
(319) 366-4116
Mailing address
3225 WILLIAMS PKWY SW, SUITE 1, CEDAR RAPIDS, IA 52404-1476
(319) 366-3500
(319) 366-4116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01818
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3015248
—
IA
Enumeration date
11/09/2005
Last updated
06/21/2011
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