| NPI | 1285676031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PETERSON Chief Executive Officer 218-739-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MN 44) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2009-03-26 |