| NPI | 1982756284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI JO MCDONALD Office Manager, Billing & Insurance 641-236-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA 3594) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-09-02 |