| NPI | 1134351760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BAKER President 641-372-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2009-08-15 |
| Last Update Date | 2009-12-16 |