| NPI | 1083813232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN HINDERKS Director Of Revenue Cycle 320-231-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 331093) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: MN 331093) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2013-07-17 |