Organization
DERMATOLOGY SKIN STUDIO PC
Active
Other names
Dermatology Skin Studio
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MARIE STALL NP (OWNER/NP)
(319) 400-3085
Entity
Organization
Contact information
Practice address
3205 ZENITH AVE UNIT 2, SPIRIT LAKE, IA 51360-1084
(319) 400-3085
Mailing address
3205 ZENITH AVE UNIT 2, SPIRIT LAKE, IA 51360-1084
(319) 400-3085
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/02/2025
Last updated
06/05/2025
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