| NPI | 1811343916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY HAFFNER-SZYNSKIE Owner/Managing Member 712-542-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-12-15 |