| NPI | 1588332977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY HEGG Office Manager 563-551-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-11-18 |