Individual
MARK PHILIP RUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4430
(563) 584-4422
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25425
IA
207R00000X
Internal Medicine Physician
36156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037655
—
IA
Enumeration date
05/22/2006
Last updated
01/22/2008
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