| NPI | 1194823021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A MILLER Practice Director 701-530-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207L00000X Anesthesiology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2013-12-10 |