| NPI | 1083758189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN HINDERKS Director Of Revenue Cycle 320-231-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 331093) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 331093) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-07-17 |