| NPI | 1326157140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EDWIN HENRICH Physician 319-752-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA 31549 / 34553) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2015-02-24 |