| NPI | 1245415470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY BIRCHEM President/Owner 515-462-5087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IA S0080) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |