Stabenow, David Lee

Stabenow, David Lee is an individual health care provider with primary practice located at 1500 Associates Dr , Dubuque IA 52002-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Stabenow, David Lee can be contacted via phone (563) 584-4425.

Contact Information

Primary practice address
1500 Associates Dr Dubuque IA 52002-2201
Fax: (563) 584-4295
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 21731 Iowa
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 23698 Wisconsin

Profile Details

NPI number 1861445314
LBN Legal business name Stabenow, David Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861445314 NPPES
Iowa MEDICAID 0163774

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