Organization
MUSCATINE DERMATOLOGY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERINER MARTIN PEREIRA M.D. (PHYSICIAN)
(563) 263-2113
Entity
Organization
Contact information
Practice address
2300A PARK AVE, MUSCATINE, IA 52761-5444
(563) 263-2113
(563) 263-2619
Mailing address
2300A PARK AVE, MUSCATINE, IA 52761-5444
(563) 263-2113
(563) 263-2619
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
09/25/2015
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