| NPI | 1346211315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MARK LANGENFELD Chief Financial Officer 320-763-2527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MN 115) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-12-18 |