| NPI | 1972538239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE W GOETSCH CFO 605-328-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |