| NPI | 1760492979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK A ROTERT Business Manager 605-352-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 0277) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2009-11-03 |