Provider Demographics
NPI:1356370001
Name:DUBUQUE OBSTETRICS & GYNECOLOGY, P.C.
Entity type:Organization
Organization Name:DUBUQUE OBSTETRICS & GYNECOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-557-5959
Mailing Address - Street 1:1500 DELHI ST
Mailing Address - Street 2:STE 3100
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6358
Mailing Address - Country:US
Mailing Address - Phone:563-557-5959
Mailing Address - Fax:563-557-5950
Practice Address - Street 1:1500 DELHI ST
Practice Address - Street 2:STE 3100
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6358
Practice Address - Country:US
Practice Address - Phone:563-557-5959
Practice Address - Fax:563-557-5950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty