Provider Demographics
NPI:1033913611
Name:RIDDELL, MARGARET ARLENE
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ARLENE
Last Name:RIDDELL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ARLENE
Other - Last Name:MAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:7821 KANE RD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-9592
Mailing Address - Country:US
Mailing Address - Phone:563-564-0436
Mailing Address - Fax:
Practice Address - Street 1:3701 KATZ DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-3871
Practice Address - Country:US
Practice Address - Phone:319-377-3174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA181578207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine