Individual
DR. ELISE BREAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 W KIMBERLY RD, DAVENPORT, IA 52806-3059
(563) 421-0010
(563) 421-0009
Mailing address
3200 W KIMBERLY RD, DAVENPORT, IA 52806-3059
(563) 421-0010
(563) 421-0009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35-125567
OH
208000000X
Pediatrics Physician
Primary
MD-44906
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2012
Last updated
03/30/2021
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