NPI | 1003851163 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK L RETTERATH Provider 605-884-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: SD 0425) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2010-12-22 |