NPI | 1417012170 |
---|---|
Entity Type | Organization |
Authorized Contact | PRISCILLA F BADE Partner 605-718-4380 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SD 3651) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SD 2417) |
Enumeration Date | 2006-12-23 |
Last Update Date | 2010-02-12 |