| NPI | 1790831683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA K KADLECIK Pa C 712-276-2467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IA 001716) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-06-19 |