Individual
MAKENZIE DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1597
(515) 282-2200
Mailing address
1005 NE CYPRESS CIR, GRIMES, IA 50111-1241
(303) 507-0746
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
109787
IA
208200000X
Plastic Surgery Physician
Primary
109787
IA
Other
Enumeration date
02/18/2020
Last updated
08/17/2021
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