| NPI | 1215007778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY HIEB Practice Manager 605-996-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: SD DL000252) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |