| NPI | 1952331605 |
|---|---|
| Doing Business As | TOWN SQUARE DERMATOLOGY, PLC |
| Entity Type | Organization |
| Authorized Contact | ROBIN ANN CHRISTIANSON Practice Administrator 319-337-4566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IA 32786) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IA 31541) |
| 363A00000X Physician Assistant (Licence: IA 001292) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-10-12 |