ROY LIDTKE

MARION, IA
NPI1386641165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: IA  555)
Additional Taxonomies213E00000X Podiatrist
Enumeration Date2005-07-07
Last Update Date2007-07-08
Business Address
DR. ROY LIDTKE DPM
1215 BLAIRS FERRY RD
MARION, IA 52302-3016
Phone number: 319-363-8854
Mailing Address
DR. ROY LIDTKE DPM
1215 BLAIRS FERRY ROAD
MARION, IA 52302
Phone number: 319-363-8854