| NPI | 1932153400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J SANUIK President 402-292-9170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-08-11 |