Dr. Matthew R Wilber
Primary Podiatric Medicine
3385 Dexter Ct Suite 300
Davenport
, Iowa 52807-3494
Dr. Matthew R Wilber
Primary Podiatric Medicine
3385 Dexter Ct Suite 300
Davenport
, Iowa 52807-3494
(563) 344-9573
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Matthew R Wilber
- 3385 Dexter Ct Suite 300
- Davenport, IA
- Zip : 52807-3494
- Fax : (563) 344-9573
- Phone : (563) 344-9292
Second Address
- Dr. Matthew R Wilber
- 3385 Dexter Ct Suite 300
- Davenport, IA
- Zip : 52807-3494
- Fax : (563) 344-9573
- Phone : (563) 344-9292
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 639 | IA |
National Provider Identifier
| NPI | 1114904257 |
|---|---|
| Provider Name | Dr. Matthew R Wilber |
| First Address | Davenport, IA 52807-3494 |
| Second Address | Davenport, IA 52807-3494 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2005 |
| Last Update Date | 17/02/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U62524 | (02) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.