| NPI | 1386977544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DAVID HANSEL President/Owner 563-386-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IA 002466) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |