| NPI | 1447449079 |
|---|---|
| Doing Business As | CREEKSIDE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CRAIG K HANSEN Owner 605-348-1208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2008-01-07 |