| NPI | 1396701306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMESON COLIN MCGRANN Practice Manager 605-330-9619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SD 4225) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2026-02-25 |