| NPI | 1326818188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA ZETTEL Executive Director 701-483-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |