DR. Roy Lidtke, DPM

NPI #1386641165 in Marion, Iowa

Provider Information

NPI Number: 1386641165
Entity Type: Individual
Name: DR. Roy Lidtke, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jul 7, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1215 BLAIRS FERRY RD
City: Marion
State: Iowa
ZIP Code: 52302-3016
Phone: (319) 363-8854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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