| NPI | 1134108806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEEVIN JOSEPH FRANZEN President 563-557-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2016-10-20 |