| NPI | 1104572791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HERMAN Managing Member 605-836-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 242T00000X Perfusionist |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |