NPI | 1174976948 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN J. RAATZ Owner 515-282-6067 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IA 082885) |
Enumeration Date | 2016-07-18 |
Last Update Date | 2018-12-03 |