| NPI | 1255353934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE W GOETSCH CFO 605-328-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 103T00000X Psychologist | |
| 152W00000X Optometrist | |
| 363A00000X Physician Assistant | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 231H00000X Audiologist | |
| 246Q00000X Spec/Tech, Pathology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-11-27 |