| NPI | 1124449780 |
|---|---|
| Doing Business As | MEDICAL AESTHETICS AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | PAUL BOLGER Owner 563-355-4813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2014-01-31 |