NPI | 1710004882 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA MARIE LIND Physician 308-236-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NE NE213) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2013-12-05 |