| NPI | 1396719423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE DAWN LANE Administrative Assistant 563-327-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2009-05-01 |