| NPI | 1518900125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KERZMAN Business Office Manager 605-224-5901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-11-19 |