| NPI | 1225636129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD R LAURICH President 605-217-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-12-07 |