| NPI | 1639123185 |
|---|---|
| Doing Business As | FAMILY PRACTICE OF GRAND ISLAND |
| Entity Type | Organization |
| Authorized Contact | STEVEN L HUSEN Owner 308-381-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2023-11-29 |