| NPI | 1558464446 |
|---|---|
| Doing Business As | PRAIRIE HEALTH CLINIC - STICKNEY |
| Entity Type | Organization |
| Authorized Contact | NICOLE J NEUGEBAUER Clinic Office Manager 605-732-4508 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-12-06 |