| NPI | 1467686139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHARLES JACOBSON Partner 515-440-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IA 00693) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |