Organization · Type 2 NPI

Iowa Dermatology Institute, P.c.

Surgery of the Hand (Plastic Surgery) Physician · Clinton, IA

NPI number 1265636708 Active

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

TaxonomyCodeLicense
Dermatology Physician 207N00000XNone listed
MOHS-Micrographic Surgery Physician 207ND0101XNone listed
Dermatopathology Physician 207ND0900XNone listed
Procedural Dermatology Physician 207NS0135XNone listed
Plastic Surgery Physician 208200000XNone listed
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099XNone listed
Surgery of the Hand (Plastic Surgery) Physician Primary 2082S0105XNone 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.