| NPI | 1114466091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA GIPP CEO 701-854-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |