| NPI | 1871581876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY NORD Office Manager 605-731-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SD 41051) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2014-07-30 |