| NPI | 1093802159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J JUILFS President/Owner 402-873-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |