| NPI | 1255541447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WETZEL President 641-787-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IA 00751) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-07-19 |