| NPI | 1679802532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN MARTINSEN Doctor/Owner 402-213-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NE 1560) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |