| NPI | 1134914435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN MARIE GEVIK Nurse Practitioner 218-591-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-12 |