Organization
WOUND MANAGEMENT CONSULTANTS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD DEWALL M.D. (CEO)
(563) 421-1586
Entity
Organization
Contact information
Practice address
1351 W CENTRAL PARK AVE, SUITE 1225, DAVENPORT, IA 52804-1853
(563) 421-1586
Mailing address
1351 W CENTRAL PARK AVE, SUITE 1225, DAVENPORT, IA 52804-1853
(563) 421-1586
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
036071509
IA
Other
Enumeration date
11/20/2009
Last updated
03/15/2016
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