| NPI | 1164631560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE G. MEYERS Nurse Anesthetist 701-488-2749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ND R14071) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |