| NPI | 1083780266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS CHANG Member 319-358-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IA 26997) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |