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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MINTESINOT FITAMO, MD

Active

MINTESINOT FITAMO, MD is a Family Medicine healthcare provider located in DAVENPORT, Iowa. NPI 1255760260 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · DAVENPORT, IA

Registration Details

NPI Number
1255760260
Provider Type
Individual
Gender
Male
NPI Issued
Nov 11, 2013 (12.752715949716 yrs)
Last Updated
Apr 28, 2021
Licenses
R-9658 (IA)
MD-43498 (IA)

Practice Information

Address
1230 E RUSHOLME ST STE 109
DAVENPORT, IA, 528032400
Browse IA providers · Browse ZIP 52803
Phone
5634213120
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in DAVENPORT, IA

Name Credential NPI
DR. KURT A ANDERSEN MD 1477558799
GENA L.R. BENOIT MD 1730184003
ANDREW A ANDRESEN MD 1396740361
GARY E ANDERSON DO 1205831120
PAUL R HARTMANN MD 1508861055
PACKY A HUETTMAN JR. DO 1831194307
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.