| NPI | 1124084843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCI NAGORSKI Chief Administrative Officer 320-251-8385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2018-09-17 |