| NPI | 1649481680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S LEE President 515-440-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IA 00693) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2009-05-06 |