| NPI | 1770674657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY KLEIN Owner 563-451-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IA 00540) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-10-26 |