Susan Dale Wall, M.D.
Dermatology in Iowa City, IA. Individual provider (NPI-1).
NPI number1962480970
StatusActive
Last updated in NPPESJun 30, 2022
Details
- NPI
- 1962480970
- Entity type
- Individual (NPI-1)
- Name
- Susan Dale Wall
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2006
- Certification date
- Jun 30, 2022
- Last updated
- Jun 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 28400 | IA | Yes |
| 207NS0135X | Dermatology, Procedural Dermatology | 28400 | IA |
Practice location
521 Westbury Dr Ste 2Iowa City, IA 52245-2727
Phone 319-339-3872 · Fax 319-339-3874
Mailing address
801 York StManitowoc, WI 54220-4630
Phone 920-663-9008 · Fax 920-684-1439
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All 34 Dermatology Physician providers in Iowa City · All 7,729 providers in Iowa City
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