NPI | 1316486616 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC DIPPEL M.D 563-650-5635 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IA 30121) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
261QM1300X Clinic/Center, Multi-Specialty | |
363LA2100X Nurse Practitioner, Acute Care | |
Enumeration Date | 2017-02-20 |
Last Update Date | 2021-03-01 |