| NPI | 1003846098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILDA L. OREWILER Owner 515-523-2283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 28764) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 000971) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-09-24 |