Organization
WESTERN DUBUQUE CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A WEGMANN (BUSINESS MANAGER)
(563) 744-3104
Entity
Organization
Contact information
Practice address
405 3RD AVENUE NE, FARLEY, IA 52046-0279
(319) 744-3104
Mailing address
405 3RD AVENUE NE, FARLEY, IA 52046-0279
(319) 744-3104
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251793
—
IA
Enumeration date
07/27/2006
Last updated
08/22/2020
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