| NPI | 1497874754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYL R DINVILLE Physician Reimbursement Specialist 402-397-5462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 24502) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-03-04 |