Provider Demographics
NPI:1639462443
Name:SALOWITZ, STACIE LYN (MD)
Entity Type:Individual
Prefix:MS
First Name:STACIE
Middle Name:LYN
Last Name:SALOWITZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1345 W CENTRAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52804-1844
Mailing Address - Country:US
Mailing Address - Phone:563-421-4400
Mailing Address - Fax:563-421-4449
Practice Address - Street 1:1345 W CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52804-1844
Practice Address - Country:US
Practice Address - Phone:563-421-4400
Practice Address - Fax:563-421-4449
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2024-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAR-9178207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine