NPI | 1639401508 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD E MATZKE Partner 308-537-7131 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NE 10025929400) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2012-04-13 |