| NPI | 1609013317 |
|---|---|
| Doing Business As | PRAIRIE HEALTH CLINIC WAGNER |
| Entity Type | Organization |
| Authorized Contact | NICOLE J NEUGEBAUER Cpc, Cpc H 605-724-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2011-12-06 |