Individual
FREDERICK SIMON ISAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 LANGWORTHY ST, DUBUQUE, IA 52001-7313
(563) 584-3455
(563) 584-3177
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28293
IA
2083X0100X
Occupational Medicine Physician
28293
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189407
—
IA
Enumeration date
05/12/2006
Last updated
04/11/2008
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