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NPI Code Detail

MEDICARE: KAREN MARIE FITZSIMMONS MD

MEDICARE:   KAREN MARIE FITZSIMMONS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician31689IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821099490
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN MARIE FITZSIMMONS MD
Provider Business Mailing Address
First Line : 1227 E RUSHOLME ST
Second Line :
City : DAVENPORT
State : IA
Zip : 52803-2459
Country : US
Telephone Number : 563-421-6777
Fax Number : 563-421-6770
Provider Business Practice Location Address
First Line : 1227 E RUSHOLME ST
Second Line :
City : DAVENPORT
State : IA
Zip : 52803-2459
Country : US
Telephone Number : 563-421-6777
Fax Number : 563-421-6770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2005
Last Update Date : 04/04/2021

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Directions to “ KAREN MARIE FITZSIMMONS MD” Practice Location

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