| NPI | 1104520741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA GLANZER Clinical Operations Manager 701-367-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |