NPI | 1104877455 |
---|---|
Doing Business As | DAKOTA CLINIC, LTD. - DETROIT LAKES |
Entity Type | Organization |
Authorized Contact | LARRY G SOLBERG Administrator Authorized Official 701-364-3405 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-05-12 |
Last Update Date | 2020-08-22 |