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1467413914
MARK WILBUR FORTSON
DUBUQUE, IA
NPI
1467413914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: IA 27778)
Enumeration Date
2006-03-31
Last Update Date
2013-05-08
Business Address
Dr. MARK WILBUR FORTSON M.D.
2255 JFK RD
DUBUQUE, IA 52002-2846
Phone number: 563-582-4357
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Mailing Address
Dr. MARK WILBUR FORTSON M.D.
2933 WILDERNESS DR
DUBUQUE, IA 52001-1535
Phone number: 563-557-1414
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