| NPI | 1023058831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET S GILBERTSON Clinic Manager 701-293-7408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-08-15 |