Individual
DR. CHRISTINE DEIGNAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3540 E 46TH ST, TRINITY WORK FITNESS, DAVENPORT, IA 52807-3403
(563) 742-5900
(563) 742-5980
Mailing address
3540 E 46TH ST, TRINITY WORK FITNESS, DAVENPORT, IA 52807-3403
(563) 742-5900
(563) 742-5980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21922
IA
207R00000X
Internal Medicine Physician
36-085980
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11318
WELLMARK PROVIDER #
IA
Enumeration date
02/06/2006
Last updated
07/09/2007
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