| NPI | 1255437380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE NECHIPORENKO Sports Medicine Manager 701-234-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MN 1557) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |