NPI | 1992219323 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL J HUMPAL Owner 319-430-7892 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IA 089285) |
Enumeration Date | 2017-11-21 |
Last Update Date | 2023-07-24 |