| NPI | 1093726861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT RONALD VANDER PLOEG President Of Corporation 641-628-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 20762) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-03-07 |