NPI | 1316926405 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE MAUSBACH Administrator 402-884-2450 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NE ASC034) |
Enumeration Date | 2006-01-17 |
Last Update Date | 2025-09-25 |