Iowa Plastic Surgery Center Lc

NPI #1215916184 in Davenport, Iowa

Provider Information

NPI Number
1215916184
Entity Type
Organization
Organization Name
Iowa Plastic Surgery Center Lc
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jan 10, 2006
Last Updated
Feb 15, 2010

Practice Location

Address
4334 E 53RD ST
State
Iowa
ZIP Code
52807-3039
Phone
(563) 322-8877

Authorized Official

Name
DR. BENJAMIN ADAM VANRAALTE, M.D.
Title
OWNER
Phone
(563) 322-8877

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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