NPI | 1366806457 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE SCHLOSSER President/CEO 563-556-6292 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IA A100449) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2016-04-19 |