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 provides Specialist services 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

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