Provider Demographics
NPI:1144721853
Name:IOWA SPECIALTY SURGEONS LLP
Entity type:Organization
Organization Name:IOWA SPECIALTY SURGEONS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:KUHNEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:515-225-7001
Mailing Address - Street 1:4949 WESTOWN PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-6704
Mailing Address - Country:US
Mailing Address - Phone:515-225-7001
Mailing Address - Fax:515-440-1953
Practice Address - Street 1:4949 WESTOWN PKWY STE 100
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-6704
Practice Address - Country:US
Practice Address - Phone:515-225-7001
Practice Address - Fax:515-440-1953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1811094089OtherNPI
1669418166OtherNPI