| NPI | 1326706565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOFOR JAMES KALVIG Owner/Provider 515-570-7264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |