| NPI | 1205880457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ANN OLSEN Administrator 712-255-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 19741) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2009-06-10 |