| NPI | 1558221473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BINDEL Administrator 605-431-8586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-11-13 |
| Last Update Date | 2025-11-13 |