| NPI | 1255538591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERINER MARTIN PEREIRA Physician 563-263-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2015-09-25 |