NPI | 1417329368 |
---|---|
Entity Type | Organization |
Authorized Contact | PRISCILLA F BADE Physician 605-718-4380 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SD 3651) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 3651) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: SD 3651) | |
Enumeration Date | 2015-10-30 |
Last Update Date | 2015-10-30 |