DOUGLAS EARL VICKSTROM

BETTENDORF, IA
NPI1063529105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IA  19440)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
DOUGLAS EARL VICKSTROM MD
2979 VICTORIA ST VA OPT CLINIC
BETTENDORF, IA 52722
Phone number: 563-332-8528
Mailing Address
DOUGLAS EARL VICKSTROM MD
25665 VALLEY DRIVE
BETTENDORF, IA 52722-7315
Phone number: 563-332-4172
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