Douglas Earl Vickstrom, MD

NPI #1063529105 in Bettendorf, Iowa

Provider Information

NPI Number
1063529105
Entity Type
Individual
Name
Douglas Earl Vickstrom, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
MD
Enumeration Date
Aug 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2979 VICTORIA ST
Address 2
VA OPT CLINIC
State
Iowa
ZIP Code
52722
Phone
(563) 332-8528

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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