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1386641165
ROY LIDTKE
MARION, IA
NPI
1386641165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: IA 555)
Additional Taxonomies
213E00000X Podiatrist
Enumeration Date
2005-07-07
Last Update Date
2007-07-08
Business Address
DR. ROY LIDTKE DPM
1215 BLAIRS FERRY RD
MARION, IA 52302-3016
Phone number: 319-363-8854
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Mailing Address
DR. ROY LIDTKE DPM
1215 BLAIRS FERRY ROAD
MARION, IA 52302
Phone number: 319-363-8854
Copy
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