| NPI | 1174304869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MEINKE Owner 402-641-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 202D00000X Integrative Medicine |
| 208VP0000X | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |