| NPI | 1407286974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REANEN E MICHAEL Owner 402-690-6286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NE 339) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |