Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dubuque Pain Clinic

Organization Pain Medicine Physician · NPI 1467863472

Dubuque Pain Clinic is a Pain Medicine Physician in Dubuque, Iowa. Licensed in Iowa. Registered with an NPI since 2014.

Licensed in
IA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

250 Mercy Dr
Dubuque, IA 52001-7320
Phone: (563) 589-8665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 34875 (IA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 34875 (IA)

Record details

NPI number1467863472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivan Fomitchev — President · (563) 564-1283
NPI enumeratedMay 13, 2014
Last updated in NPPESMay 13, 2014
Mailing address2260 Samantha Dr, Dubuque, IA 52002-0485

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