| NPI | 1083992010 |
|---|---|
| Former Legal Business Name | NEW LIFE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | NATHAN H LOEWEN Owner 605-352-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 3517) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2012-03-26 |