NPI | 1194238535 |
---|---|
Former Legal Business Name | KETTMAN PRANGER FAMILY MEDICINE, PLLC |
Entity Type | Organization |
Authorized Contact | ROBERT STEPHEN PRANGER Physician 319-236-7751 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD34769) |
Enumeration Date | 2017-11-07 |
Last Update Date | 2017-11-07 |