| NPI | 1013010974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER S KNUTSEN President 605-341-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: SD 0266) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-03-11 |