| NPI | 1972703023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELWYN J NAGENGAST Owner 402-373-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 9951) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE 9951) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2008-04-20 |