| NPI | 1548570450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A. HUBBEL Owner/President 605-335-3521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SD 749) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |