| NPI | 1578511051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDD KIPPER Director 319-369-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-02-25 |