NPI | 1083767511 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRY K SAUSER Owner 712-243-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A066771) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2012-10-31 |