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PLASTIC SURGERY AESTHETICS PC NPI 1831425347


NPI Information

NPI: 1831425347
Provider Name: PLASTIC SURGERY AESTHETICS PC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
200 MERCY DR STE 101
DUBUQUE, IA
ZIP 52001
Phone: (563) 589-9119
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PLASTIC SURGERY AESTHETICS PC is a plastic and reconstructive surgery surgery in Dubuque, IA. The provider is a surgeon who specializes in plastic and reconstructive surgery. PLASTIC SURGERY AESTHETICS PC NPI is 1831425347. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 MERCY DR STE 101
DUBUQUE, IA
ZIP 52001-392
Phone: (563) 589-9119
Fax: (563) 589-9112

The provider's authorized official is Erin M Kennedy .
The authorized official title is President and has the following contact phone number (563) 589-9119.

The enumeration date for this NPI number is 10/19/2009 and was last updated on 10/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive Surgery31852IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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