| NPI | 1386927465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN S SPAHN President 605-791-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SD LLC ID# DL020085) |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2011-09-24 |