Organization
IOWA SKIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRZA M BAIG M.D. (PRESIDENT)
(641) 672-0123
Entity
Organization
Contact information
Practice address
212 N MARKET ST, OSKALOOSA, IA 52577-2829
(515) 314-8661
Mailing address
PO BOX 22112, CLIVE, IA 50325-9402
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418400
—
IA
Enumeration date
09/29/2006
Last updated
01/06/2012
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