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Donna Poesch M.D.S.C

Dermatology in Moline, IL. Organization (NPI-2).

NPI number1104845189
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1104845189
Entity type
Organization (NPI-2)
Legal business name
Donna Poesch M.D.S.C
Organization subpart
No
Enumeration date
Jul 19, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology036070857ILYes

Practice location

1302 7th St
Suite 202
Moline, IL 61265-2900

Phone 309-277-0772 · Fax 309-277-0774

Mailing address

1302 7th St
Suite 202
Moline, IL 61265-2900

Phone 309-277-0772 · Fax 309-277-0774

Authorized official

Donna Lynne Poesch
Physician/Owner
3092770772

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