Organization
ABBOTT NORTHWESTERN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG NEISES (CRNA)
(605) 534-3862
Entity
Organization
Contact information
Practice address
46866 240TH ST, COLMAN, SD 57017-6209
(605) 534-3862
Mailing address
46866 240TH ST, COLMAN, SD 57017-6209
(605) 534-3862
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
R148128-8
MN
Other
Enumeration date
01/30/2007
Last updated
06/13/2008
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