| NPI | 1033238308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYL R DINVILLE Physician Reimbursement Specialist 402-397-5462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 15205) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-10-14 |