Kristine M Staheli Jackson
Kristine M Staheli Jackson is a Non-Pharmacy Dispensing Site in Dubuque, Iowa. Licensed in Iowa. Registered with an NPI since 2006.
- Licensed in
- IA
- In the registry since
- 2006
Practice location Partly verified
Hillcrest Family Services Clinic 220 W 7th StDubuque, IA 52001
Phone: (563) 583-6431
Fax: (563) 557-4447
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence F066142 (IA) |
|---|
Record details
| NPI number | 1205847845 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Gansemer — Ceo · (563) 583-7357 |
| NPI enumerated | August 10, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 116, Dubuque, IA 52004-0116 |