| NPI | 1831139328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K. MONSMA Executive Network Director 712-279-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-09-11 |