NPI | 1609248673 |
---|---|
Entity Type | Organization |
Authorized Contact | MELANIE LYNN SCHMIDT Owner 308-398-0350 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NE 111654) |
Enumeration Date | 2015-10-29 |
Last Update Date | 2015-10-29 |