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Individual

CHESTER ROBERT BADGER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1789 ELM ST, SUITE A, DUBUQUE, IA 52001-2256
(563) 690-2860
(563) 582-5335
Mailing address
1789 ELM ST, SUITE A, DUBUQUE, IA 52001-2256
(563) 690-2860
(563) 582-5335

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3765
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0732818
IA
01
28553
WELLMARK BLUE CROSS
IA
01
IA0149
JOHN DEERE
IA
01
P00351457
RAILROAD MEDICARE
IA
Enumeration date
10/20/2006
Last updated
06/20/2012
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