| NPI | 1053499517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANNE MEYERAAN Office Manager 641-752-4681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-05-21 |