Organization
UROLOGY CENTER OF IOWA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KELLERMAN MD (MANAGING MEMBER/PARTNER)
(515) 249-1610
Entity
Organization
Contact information
Practice address
12129 UNIVERSITY AVE, CLIVE, IA 50325-8287
(515) 400-3550
Mailing address
12129 UNIVERSITY AVE, CLIVE, IA 50325-8287
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/20/2019
Last updated
03/12/2026
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