| NPI | 1568656999 |
|---|---|
| Doing Business As | IOWA DERMATOLOGY INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | CARL W SODERSTROM Medical Director 309-674-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-09-19 |