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Individual

DR. MARK GLENN CLEVELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
411 10TH ST SE STE 1200, CEDAR RAPIDS, IA 52403-2449
(319) 362-3434
(319) 362-9568
Mailing address
411 10TH ST SE STE 1200, CEDAR RAPIDS, IA 52403-2449
(319) 362-3434
(319) 362-9568

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
31130
IA
207ND0101X
MOHS-Micrographic Surgery Physician
31130
IA

Other

Enumeration date
07/14/2005
Last updated
10/18/2024
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