| NPI | 1952321416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI R JAUER Office Manager 605-217-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: SD 3861) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-04-22 |