NPI 1467413914

Mark Wilbur Fortson, MD

Practitioner Neurology Physician Dubuque, IA

Practice location

Address: 2255 Jfk Rd, Dubuque, IA 52002-2846
Phone: (563) 582-4357
Fax: (563) 582-5718
Mailing address: 2933 Wilderness Dr, Dubuque, IA 52001-1535

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 27778 (IA)

Other Psychiatry & Neurology providers in Iowa →

Registry record

NPI: 1467413914
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2006
Record last updated: 8 May 2013

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.