| NPI | 1326330887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J PIATZ Office Manager 701-751-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 7534) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R29280) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2018-11-28 |