| NPI | 1891576401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE C PRELLWITZ Clinic Director 308-236-6499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |