| NPI | 1124404272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARIE GRUTZ Family Nurse Practitioner 563-663-1248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IA A122623) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2018-11-01 |