Dubuque Internal Medicine PC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

DUBUQUE INTERNAL MEDICINE PC

Doing business as

Tri-State Dialysis Platteville

Practice address

5 Insight Dr
Platteville, WI 53818-3828

Phone

(608) 348-5064

Fax

(608) 348-7950

NPI assigned

May 20, 2006

Last updated

Apr 1, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mariah Ann Brandenburg

Title

Administration

Phone

(563) 589-4066

Specialties & licenses 1

Addresses

Other names 1

• TRI-STATE DIALYSIS PLATTEVILLE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1669426177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DELHI ST",
            "address_2": "STE 100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016320",
            "telephone_number": "563-557-9111",
            "fax_number": "563-589-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 INSIGHT DR",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183828",
            "telephone_number": "608-348-5064",
            "fax_number": "608-348-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBUQUE INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "BRANDENBURG",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "563-589-4066"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI-STATE DIALYSIS PLATTEVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRI-STATE DIALYSIS PLATTEVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chase Dreessens, D.C.
• Vickie L Dreessens, APNP
• Kelsey Dresen, RDN
• Driftless Area Behavioral Services, LLC
• Zachary Droeszler, M.D.
• Allison Nicole Dunne, PA-C
• Jamie Leah Duve, LPN
• Kyle Dwyer, MAT, LAT, ATC
• Wendy Lynn Eames, LPC
• Joshua Eastlick, LPC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Platteville, WI
• Providers in Platteville, WI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.