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Individual

JUAN CARLOS NIETO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2140 JOHN F KENNEDY RD, FUERSTE EYE CLINIC, DUBUQUE, IA 52002-3883
(563) 582-0769
Mailing address
2140 JOHN F KENNEDY RD, FUERSTE EYE CLINIC, DUBUQUE, IA 52002-3883
(563) 582-0769

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
38849
IA
207W00000X
Ophthalmology Physician
51081-20
WI

Other

Enumeration date
10/05/2006
Last updated
06/14/2010
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