| NPI | 1033180153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORAE BENSON Mgr 701-738-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2020-02-11 |