Organization
QUAD CITY PROSTHETIC INC
Active
Organization
QUAD CITY PROSTHETIC INC
Active
Other names
Quad City Prosthetic Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA F MICKELSON (MANAGER OF REVENUE CYCLE MANAGEMENT)
(309) 285-7752
Entity
Organization
Contact information
Practice address
2105 INGERSOLL AVE STE 101, DES MOINES, IA 50312-5201
(515) 671-2326
(515) 381-2394
Mailing address
741 W MAIN ST, PEORIA, IL 61606-1953
(309) 285-7752
(309) 285-7752
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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