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 | 2024-10-16 |