| NPI | 1295886307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN VAN DE WALLE President 605-229-3682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 0248) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |