| NPI | 1295568376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER EDIS CEO 701-444-8609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207Y00000X Otolaryngology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-11-12 |