| NPI | 1063741114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M HALVERSON Doctor Of Podiatric Medicine 402-721-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NE 226) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |