| NPI | 1518129576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI GRONSETH Practice Administrator 605-336-0635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2009-08-25 |