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Organization

MY SKIN CLINICS PLC

Active
Other names
Rebe Skin and Vein Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD J KOLEGRAFF MD (OWNER AND PROVIDER)
(712) 332-6001
Entity
Organization

Contact information

Practice address
3301 HIGHWAY 71 STE 1, SPIRIT LAKE, IA 51360-7634
(712) 332-6001
(712) 332-6010
Mailing address
3301 HIGHWAY 71 STE 1, SPIRIT LAKE, IA 51360-7634
(712) 332-6001
(712) 332-6010

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
24582
IA
208600000X
Surgery Physician
Primary
24582
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0746875
IA
01
DO5034
RAILROAD MEDICARE
IA
Enumeration date
01/29/2007
Last updated
01/21/2026
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