Healthcare Provider Details

I. General information

NPI: 1134108806
Provider Name (Legal Business Name): DUBUQUE PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 10/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 DELHI ST SUITE 3500
DUBUQUE IA
52001-6321
US

IV. Provider business mailing address

1500 DELHI ST SUITE 3500
DUBUQUE IA
52001-6358
US

V. Phone/Fax

Practice location:
  • Phone: 563-557-5911
  • Fax: 563-557-5910
Mailing address:
  • Phone: 563-557-5911
  • Fax: 563-557-5910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KEEVIN JOSEPH FRANZEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 563-557-5911