Organization
MIDWEST BRAIN AND SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY VITO MAIORIELLO M.D. (NEUROSURGEON CEO)
(563) 344-8330
Entity
Organization
Contact information
Practice address
3385 DEXTER COURT, SUITE 110, DAVENPORT, IA 52807-3461
(563) 344-8330
(563) 344-8339
Mailing address
3385 DEXTER COURT, SUITE 110, DAVENPORT, IA 52807-3461
(563) 344-8330
(563) 344-8339
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35413
IA
Other
Enumeration date
12/27/2006
Last updated
03/15/2010
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