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1003201880
JOHANNA LAIDIG
DAVENPORT, IA
NPI
1003201880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IA 05308)
Enumeration Date
2015-03-30
Last Update Date
2021-05-13
Business Address
JOHANNA LAIDIG D.O.
1227 E RUSHOLME ST
DAVENPORT, IA 52803-2459
Phone number: 563-421-1000
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Mailing Address
JOHANNA LAIDIG D.O.
PO BOX 1245
BETTENDORF, IA 52722-0021
Phone number: 563-324-8160
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