Basic Information
| Provider Information | |||||||||
| NPI: | 1710984158 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TEMMERMAN | ||||||||
| FirstName: | JOAN | ||||||||
| MiddleName: | CHRISTINE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 ROCK ISLAND ARSENAL BLDG 110 | ||||||||
| Address2: | |||||||||
| City: | ROCK ISLAND | ||||||||
| State: | IL | ||||||||
| PostalCode: | 612997240 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3097820805 | ||||||||
| FaxNumber: | 3097820910 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 ROCK ISLAND ARSENAL BLDG 110 | ||||||||
| Address2: | |||||||||
| City: | ROCK ISLAND | ||||||||
| State: | IL | ||||||||
| PostalCode: | 612997240 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3097820805 | ||||||||
| FaxNumber: | 3097820910 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2005 | ||||||||
| LastUpdateDate: | 01/11/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 036.094732 | IL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.