| NPI | 1184660151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK L RETTERATH Provider 605-884-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SD 51560) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2010-12-22 |