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DUBUQUE INTERNAL MEDICINE PC NPI 1568427524


NPI Information

NPI: 1568427524
Provider Name: DUBUQUE INTERNAL MEDICINE PC

Doing Business As: GRAND RIVER MEDICAL GROUP, PC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 16D0386103

Address:
1515 DELHI ST
STE 100
DUBUQUE, IA
ZIP 52001
Phone: (563) 557-9111
Get Directions

DUBUQUE INTERNAL MEDICINE PC is an internal medicine in Dubuque, IA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DUBUQUE INTERNAL MEDICINE PC NPI is 1568427524. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Grand River Medical Group, Pc.

The provider's business location address is:

1515 DELHI ST
STE 100
DUBUQUE, IA
ZIP 52001-389
Phone: (563) 557-9111
Fax: (563) 589-4063

The provider's authorized official is Justin Hafner .
The authorized official title is Chief Executive Officer and has the following contact phone number (563) 557-9111.

The CLIA number assigned to this NPI record is 16D0386103 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 11/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RH0003XInternal MedicineHematology & OncologyNo
6207RI0011XInternal MedicineInterventional CardiologyNo
7207RI0200XInternal MedicineInfectious DiseaseNo
8207RP1001XInternal MedicinePulmonary DiseaseNo
9208M00000XHospitalistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.