| NPI | 1760664502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DIMITRIEVICH President 605-338-0836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 3478) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2011-04-11 |