| NPI | 1073540902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARIN B ENGLER Insurance Specialist 218-722-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MN 813) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-22 |