Provider Demographics
NPI:1295827152
Name:DREILING, DALE T (MD)
Entity Type:Individual
Prefix:
First Name:DALE
Middle Name:T
Last Name:DREILING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 ASSOCIATES DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2270
Mailing Address - Country:US
Mailing Address - Phone:563-584-4862
Mailing Address - Fax:563-556-5134
Practice Address - Street 1:1605 ASSOCIATES DR
Practice Address - Street 2:SUITE 101
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-2270
Practice Address - Country:US
Practice Address - Phone:563-584-4862
Practice Address - Fax:563-556-5134
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA40800207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine