| NPI | 1891272530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RIES Doctor 605-209-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: SD 139) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |