| NPI | 1245123835 |
|---|---|
| Doing Business As | DERMATOLOGY SKIN STUDIO |
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIE STALL Owner/Np 319-400-3085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-05 |