| NPI | 1255518619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE A ENGELBRECHT Manager 605-940-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |