| NPI | 1285196303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L MARKEL Credentialing & Billing Manager 701-205-4533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |