Individual
JANENE MISAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3540 E 46TH ST, DAVENPORT, IA 52807-3403
(563) 742-5900
(563) 742-5980
Mailing address
3540 E 46TH ST, DAVENPORT, IA 52807-3403
(563) 742-5900
(563) 742-5980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000687
IA
363A00000X
Physician Assistant
85-000564
IL
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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