Whalio Doctors

NPI 1265636708

Iowa Dermatology Institute, P.C.

Organisation Surgery of the Hand (Plastic Surgery) Physician Clinton, IA

Practice location

Address
2315 Roosevelt St, Clinton, IA 52732-2412
Phone
(563) 242-3571
Fax
(563) 243-4971
Mailing address
4909 N Glen Park Place Rd, Peoria, IL 61614-4676

Authorised official

Name
Carl W. Soderstrom
Title
Physician
Phone
(309) 674-7546

Registered specialties (7)

Surgery of the Hand (Plastic Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2082S0105X
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X
Dermatopathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0900X
Procedural Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NS0135X
Plastic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208200000X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 2082S0099X

Registry record

NPI
1265636708
Entity type
Organization
NPI issued
11 Jun 2007
Record last updated
11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.