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Organization

ROBERT G GERMAN MD PC

Active
Other names
Iowa Dermatology Institute
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARL W SODERSTROM MD (MEDICAL DIRECTOR)
(309) 674-7546
Entity
Organization

Contact information

Practice address
2315 ROOSEVELT ST, CLINTON, IA 52732-2412
(563) 242-3571
(563) 243-4971
Mailing address
4909 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 674-7546
(309) 282-0500

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
08/29/2007
Last updated
09/19/2007
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