| NPI | 1245263326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J MCKENZIE President 605-331-5890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: SD 0051) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-04-13 |