| NPI | 1053870253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA STAHL Director Of Finance 701-356-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-06-19 |