Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Iowa City Plastic Surgery LLC

Organization Specialist · NPI 1073572640

Iowa City Plastic Surgery LLC is a Specialist in Coralville, Iowa. Licensed in Iowa. Registered with an NPI since 2006.

Licensed in
IA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 12th Ave Ste 102
Coralville, IA 52241-1774
Phone: (319) 337-3740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence IA-19759 (IA)

Record details

NPI number1073572640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandy Brenneman — Office Manager · (319) 337-3740
NPI enumeratedMarch 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address501 12th Ave, Suite 102, Coralville, IA 52241-1774

Other providers in Coralville