| NPI | 1124274329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GESS RISTVEDT Ophthalmology Resident 515-779-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: MI 5315030686) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |