| NPI | 1053369405 |
|---|---|
| Doing Business As | PELLA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT D KROESE CEO 641-628-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: IA 630165H) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 630165H) |
| 207R00000X Internal Medicine (Licence: IA 630165H) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-10-20 |