| NPI | 1306908728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BROCKMAN CEO 563-322-0971 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2024-04-29 |