Organization
DUBUQUE INTERNAL MEDICINE PC
Active
Other names
TRI-STATE DIALYSIS MANCHESTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH ANN BRANDENBURG (ADMINISTRATION)
(563) 589-4066
Entity
Organization
Contact information
Practice address
107 S 11TH ST STE 2, MANCHESTER, IA 52057-2220
(563) 927-2532
(563) 927-5579
Mailing address
1515 DELHI ST, STE 100, DUBUQUE, IA 52001-6320
(563) 557-9111
(563) 589-4046
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
IA
Other
Enumeration date
05/18/2006
Last updated
08/28/2024
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