JOHANNA LAIDIG

DAVENPORT, IA
NPI1003201880
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: IA  05308)
Enumeration Date2015-03-30
Last Update Date2021-05-13
Business Address
JOHANNA LAIDIG D.O.
1227 E RUSHOLME ST
DAVENPORT, IA 52803-2459
Phone number: 563-421-1000
Mailing Address
JOHANNA LAIDIG D.O.
PO BOX 1245
BETTENDORF, IA 52722-0021
Phone number: 563-324-8160