NPI | 1073516795 |
---|---|
Entity Type | Organization |
Authorized Contact | KATRINA MAE MASAKOWSKI Business Office Manager 563-359-1716 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2005-05-27 |
Last Update Date | 2011-11-30 |