| NPI | 1275601668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY EDWARD FOTLAND President 507-424-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: MN R 162100-0) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |