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

Iowa Dermatology Institute, PC

Organization Dermatology Physician · NPI 1265636708

Iowa Dermatology Institute, PC is a Dermatology Physician in Clinton, Iowa. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
7
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2315 Roosevelt St
Clinton, IA 52732-2412
Phone: (563) 242-3571
Fax: (563) 243-4971
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery of the Hand (Plastic Surgery) Physician (primary) Taxonomy 2082S0105X
Dermatology Physician Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X
Procedural Dermatology Physician Taxonomy 207NS0135X
Plastic Surgery Physician Taxonomy 208200000X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X

Record details

NPI number1265636708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Soderstrom — Physician · (309) 674-7546
NPI enumeratedJune 11, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address4909 N Glen Park Place Rd, Peoria, IL 61614-4676

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