| NPI | 1457465866 |
|---|---|
| Former Legal Business Name | SPITZ & BRAXTON, LTD |
| Entity Type | Organization |
| Authorized Contact | LORNELL E HANSEN Owner 605-274-0217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 202K00000X Phlebology |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2024-04-02 |