NPI | 1700078854 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS R. BRANDT President/Owner 402-644-4411 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 363L00000X Nurse Practitioner |
133V00000X Dietitian, Registered | |
Enumeration Date | 2007-08-13 |
Last Update Date | 2008-08-07 |