| NPI | 1932183308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T DIETRICH President Of Corporation 605-721-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SD 5300141945007EUF001) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: SD 5300141945007EUT001) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2013-09-26 |