| NPI | 1285811471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ROBERT WILBER Owner 563-324-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IA 639) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-02-14 |