Iowa Dermatology Clinic Plc

NPI #1265199277 in Cedar Rapids, Iowa

Provider Information

NPI Number: 1265199277
Entity Type: Organization
Organization Name: Iowa Dermatology Clinic Plc
Subpart: Yes (part of a larger organization)
Parent Organization: IOWA DERMATOLOGY CLINIC PLC
Primary Specialty: Dermatology
Enumeration Date: Nov 24, 2021
Last Updated: Nov 24, 2021

Practice Location

Address: 1005 BLAIRS FERRY RD NE STE 30
City: Cedar Rapids
State: Iowa
ZIP Code: 52402-1219
Phone: (319) 289-7779

Authorized Official

Name: MR. MATTHEW DAVID SCHEMMEL
Title: CHIEF OPERATING OFFICER
Phone: (515) 697-0176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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