| NPI | 1508846635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L REINKE President 712-324-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA 25857) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA 29665) |
| 208600000X Surgery (Licence: IA 32663) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-08-22 |