| NPI | 1497246573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J GROSS President/Owner 402-999-2329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NE 29103) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-10-29 |