| 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 |