Provider Demographics
NPI:1659414936
Name:DUBUQUE NEUROLOGY & NEURODIAGNOSTIC CENTER, P.C.
Entity Type:Organization
Organization Name:DUBUQUE NEUROLOGY & NEURODIAGNOSTIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:STERRETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:563-583-4000
Mailing Address - Street 1:3405 LAKE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-7800
Mailing Address - Country:US
Mailing Address - Phone:563-583-4000
Mailing Address - Fax:563-557-1016
Practice Address - Street 1:3405 LAKE RIDGE DR
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-7800
Practice Address - Country:US
Practice Address - Phone:563-583-4000
Practice Address - Fax:563-557-1016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty