| NPI | 1558766238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC C PALMQUIST President 402-315-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NE 342) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2015-06-30 |