| NPI | 1922562743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ALLEN HARLAN Owner/Medical Director 319-321-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 207ND0900X Dermatology Dermatopathology | |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |