| NPI | 1275843054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEENERSON Owner 763-300-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 1675) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |