| NPI | 1831329374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM A BENNING President 605-584-9067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: SD 856) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2010-01-04 |