| NPI | 1821169459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY R ENSZ President 402-274-4993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-10-16 |