NPI 1205847845
Kristine M Staheli Jackson
Practice location
- Address
- Hillcrest Family Services Clinic 220 W 7th St, Dubuque, IA 52001
- Phone
- (563) 583-6431
- Fax
- (563) 557-4447
- Mailing address
- PO Box 116, Dubuque, IA 52004-0116
Authorised official
- Name
- Gary Gansemer
- Title
- Ceo
- Phone
- (563) 583-7357
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1205847845
- Entity type
- Organization
- NPI issued
- 10 Aug 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.