| NPI | 1609849165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LAUER Physician 605-720-1389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: SD 1247) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-08-22 |