Kristine M Staheli Jackson

NPI 1205847845 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1205847845
Enumeration Date 08/10/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GARY GARY
Position CEO
Phone (563) 583-6431
Fax (563) 557-4447
Practice Location
HILLCREST FAMILY SERVICES CLINIC
220 W 7TH ST
DUBUQUE IA, 52001, US
Phone (563) 583-6431
Fax (563) 557-4447
Business Location
PO BOX 116
DUBUQUE IA, 52004-0116, US
Phone
Fax
Toxanomy
Taxonomy Code 332900000X
License State Iowa
License Number F066142
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According to our database, Kristine M Staheli Jackson NPI is 1205847845, taxonomy code is 332900000X and license number is F066142, license state is located at Iowa. Kristine M Staheli Jackson physically located at Hillcrest Family Services Clinic, Dubuque IA, 52001. NPI Number 1033115704 has the healthcare provider type.

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1205847845 NPI number is provided on an as is basis without warranty of any kind. 1205847845 is maintained by the National Plan & Provider Enumeration System. The contents of Kristine M Staheli Jackson are for informational purposes only.