| NPI | 1285062687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ORHN Owner 218-256-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MN R 141127-4) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2014-01-03 |