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NPI Code Detail

MEDICARE: TROY DOLMETSCH DO

MEDICARE: TROY DOLMETSCH DO
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
1207Q00000XFamily Medicine PhysicianDO-06588IA

General Provider Information

NPI Number : 1194464107
Entity Type Code : Individual
Provider Name (Legal Business Name) : TROY DOLMETSCH DO
Provider Business Mailing Address
First Line : 1345 W CENTRAL PARK AVE
Second Line :
City : DAVENPORT
State : IA
Zip : 52804-1844
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1345 W CENTRAL PARK AVE
Second Line :
City : DAVENPORT
State : IA
Zip : 52804-1844
Country : US
Telephone Number : 563-421-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2022
Last Update Date : 03/05/2026

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Directions to “ TROY DOLMETSCH DO” Practice Location

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