Blanka Divisova M.D.

NPI 1023085644 - Family Medicine - 207Q00000X

NPI Details
NPI 1023085644
Gender Female
Enumeration Date 03/02/2006
Last Updated 05/31/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
613 W MAIN ST
MANCHESTER IA, 52057-1527, US
Phone (563) 927-2629
Fax
Business Location
613 W MAIN ST
MANCHESTER IA, 52057-1527, US
Phone (563) 927-2629
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Iowa
License Number 35347
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According to our database, Blanka Divisova M.D. NPI is 1023085644, taxonomy code is 207Q00000X and license number is 35347, license state is located at Iowa. Blanka Divisova M.D. physically located at 613 W Main St, Manchester IA, 52057-1527. NPI Number Blanka Divisova M.D. has the Individual type.

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1023085644 NPI number is provided on an as is basis without warranty of any kind. 1023085644 is maintained by the National Plan & Provider Enumeration System. The contents of Blanka Divisova M.D. are for informational purposes only.