| NPI | 1184498990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL S FICK Owner 515-221-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2025-03-17 |