| NPI | 1831425347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN M KENNEDY President 563-589-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IA 31852) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-23 |