| NPI | 1972525962 |
|---|---|
| Doing Business As | SANFORD CLINIC EAR, NOSE & THROAT WATERTOWN |
| Entity Type | Organization |
| Authorized Contact | STEVE GOETSCH CFO 605-328-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-11-27 |