NPI | 1184181091 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA CLAIR Director/Practice Manager 701-354-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Enumeration Date | 2019-02-27 |
Last Update Date | 2019-02-27 |