| NPI | 1184905309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEG S GILBERTSON Practice Manager 701-499-4807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |