| NPI | 1619229556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MICHAEL STEICHEN Business Manager 605-665-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-10 |