Organization · Type 2 NPI
Iowa Dermatology Institute, P.c.
Surgery of the Hand (Plastic Surgery) Physician · Clinton, IA
Practice location
2315 Roosevelt St
Clinton, IA 52732-2412
Fax (563) 243-4971
Mailing address
4909 N Glen Park Place Rd
Peoria, IL 61614-4676
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | None listed |
| MOHS-Micrographic Surgery Physician | 207ND0101X | None listed |
| Dermatopathology Physician | 207ND0900X | None listed |
| Procedural Dermatology Physician | 207NS0135X | None listed |
| Plastic Surgery Physician | 208200000X | None listed |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | None listed |
| Surgery of the Hand (Plastic Surgery) Physician Primary | 2082S0105X | None listed |
Surgery of the Hand (Plastic Surgery) Physician: A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Another provider at this address
About NPI 1265636708
Iowa Dermatology Institute, P.c.'s National Provider Identifier is 1265636708, issued on Jun 11, 2007. The primary taxonomy on file is Surgery of the Hand (Plastic Surgery) Physician (2082S0105X), and the practice location is in Clinton, IA. The record was last updated on Sep 11, 2025.