| NPI | 1659420727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P. MCGUIRE Administrator 605-721-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SD 53001EUT001) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-07-21 |