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Marie Elyse Brewer, PA-C

Physician Assistant in Davenport, IA. Individual provider (NPI-1).

NPI number1609409184
StatusActive
Last updated in NPPESFeb 29, 2020

Details

NPI
1609409184
Entity type
Individual (NPI-1)
Name
Marie Elyse Brewer
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Feb 12, 2020
Certification date
Feb 29, 2020
Last updated
Feb 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant099904IAYes
363A00000X Physician Assistant085.007540IL

Practice location

3385 Dexter Ct Ste 101
Davenport, IA 52807-3471

Phone 563-359-1646

Mailing address

3385 Dexter Ct Ste 101
Davenport, IA 52807-3471

Phone 563-359-1646

Other practice locations

600 John Deere Rd Ste 400
Moline, IL 61265-6812

Phone 563-359-1646

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