| NPI | 1144421165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HEUER Office Manager 763-476-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN D7060) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |